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NEW UST INSTALLATION RECORD <br /> FACILITY NAME ��ELI56 I 1—I rel 11J(r f��V(CE I <br /> FACILITY ADDRESS h'1 l O� K • L n e-r (k, ra ory rY1T� <br /> SWEEPS # TANK# O Z U.L. # PRODUCT M GA S <br /> DATE APPROVED DISAPPROVED REFIS ITEM OR EQUIPMENT INSPECTED <br /> 1. UST INSTALLATION PLANS SUBMITTED & FEES PAID <br /> 2 Ci ✓ 2. UST INSTALLATION PLANS APPROVED <br /> IN17I7AL INSPECTION <br /> 3 8 q 1. HOLIDAY TEST (PLASTEEL) <br /> 2. AIR TESTED @ 5 PSI (FRP) <br /> 3 G�� 3. VISUAL INSPECTION OF 20 CONTAINMENT <br /> aJ �j 4. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br /> PIPING STAGE INSPECTION <br /> I. PRESSURE TEST (10 AND 20 PSI (FRP)] <br /> 4 1 1 I 1 vl 2. BALL FLOAT VALVES INSTALLED <br /> 3. OVERFILL PROTECTION INSTALLED, DESCRIBE: �71c✓kP <br /> 4. UNUSED TANK OPENING SEALED & CATHODICALLY PROTECTED <br /> c� 1 <br /> S. VISUAL INSPECTION OF 20 CONTAINMENT ON PIPING <br /> 6. MONITORING PORTS IN PLACE & BROUGHT TO GRADE (LOCKABLE <br /> �— WEATHER PROOF COVERS) <br /> �� ✓ 7. FILL &VENT PIPING BROUGHT TO GRADE <br /> 8. PRODUCT LINE LEAK DETECTOR INPLACE (HARD WIRED) <br /> 9. APPROVED UST LEAK MONITORING DEVICE INSTALLED <br /> 3/2.9 V1 10.ALL GALVANIZED PIPING & FITTINGS PROPERLY WRAPPED <br /> 11. PRESSURE DECAY TEST ON COMPLETE UST & PRODUCT DELIVERY <br /> V SYSTEM <br /> FINAL INSPECTION <br /> U13,1 ( 1. PRECISION TEST SUCCESSFULLY COMPLETED AND HARD COPIES <br /> 4 <br /> 4 j lqj V K 2. SPILL PROTECTION AT FILL PIPE <br /> 3. PERFORMANCE TEST OF OVERFILL PROTECTION SYSTEM <br /> 4. PERFORMANCE TEST OF PRODUCT LINE LEAK DETECTOR (HARD <br /> N ft WIRED) <br /> �S-)� PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM(S) ON <br /> -1 I TANK(S) <br /> } I 6. PERMIT TO OPERATE APPLICATION COMPLETE <br /> IH 23 066 (REV( l Gl( 7. ACCEPTABLE RECORD KEEPING SYSTEM <br /> 4 <br />