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FACILITY NAME: � he.( ( ryicr— <br />SWEEPS# TANKS <br />CAPACITY: SC7C� 0 <br />TALLATION INSPECTION RECO / /_ <br />-� 1 lO✓1 ADDRESS: Z.� Cwt g Ko <br />ULt &, �I TANK MODEL/MATERIAL: �-,. ba <br />PRODUCT: Q R.E.H.S: <br />XZ I . 7 -70 ) 4tM INITIAL INSPECTIONS UL eo R ( -47 1 /_AFD <br />(y+ (?5 <br />A <br />I <br />1 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: QUI OTHER: <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />s?s <br />P <br />R <br />I <br />T <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />6 iZ�, <br />O <br />I <br />8. <br />LAKE TEST ON ALL SLIPS (24 HR. MINIMUM) HRS: <br />V <br />A <br />111449. <br />efr 15. <br />E <br />L <br />(CCR 2635) <br />' <br />D <br />S <br />_ <br />OVERSPILL PERFaWXCE TEST <br />(CCR 2635 (A) (4)) <br />6 ,-z-ys <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />1. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (B)) <br />V-4 <br />18. <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />(CCR 2631 (D) (5)) <br />6 <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />XZ I . 7 -70 ) 4tM INITIAL INSPECTIONS UL eo R ( -47 1 /_AFD <br />(y+ (?5 <br />✓J <br />n44 <br />1 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: QUI OTHER: <br />(CCR 2635 (B) (4)) <br />6 Z <br />4. PRIMARY TANK TEST: PSI:,[ HRS/MIN: . <br />Ll h— <br />s?s <br />7. <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />yr�S <br />✓ <br />n44 <br />6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 6 (� i�'� l 30 nr. . <br />(CCR 2635 (B) (4)) <br />6 Z <br />✓ <br />µ <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: ilk <br />(CCR 2635 (A) (4)) <br />6 iZ�, <br />✓ <br />8. <br />LAKE TEST ON ALL SLIPS (24 HR. MINIMUM) HRS: <br />(CCR 2635 (A)) <br />_ 30.1✓ <br />111449. <br />efr 15. <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(CCR 2635) <br />' <br />16. <br />10. <br />OVERSPILL PERFaWXCE TEST <br />(CCR 2635 (A) (4)) <br />6 ,-z-ys <br />✓ <br />K <br />1. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (B)) <br />FINAL INSPECTION <br />���J <br />✓ <br />12. <br />PERFORMANCE TEST FOR •ALL' MONITORING PROBES <br />(CCR 2632 (C) (2)) <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />(CCR 2632 (D) 2635 (8) (5)) <br />_ 30.1✓ <br />efr 15. <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />(CCR 2635 (B) (5)) <br />_V <br />16. <br />BALL FLOAT VALVES INSTALLED <br />(CCR 2635 (8) (6)) <br />✓� <br />17. <br />OVERFILL PROTECTION INSTALLEDAAPPROVED <br />(CCR 2635 (E) (2)) <br />V-4 <br />18. <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />(CCR 2631 (D) (5)) <br />6 <br />19. <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />20. <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br />(CCR 2632 (E) (1) (2)) <br />b <br />� <br />� <br />21. <br />'Cu FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (E)) <br />6 , <br />V' <br />. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />(CCR 2641-2644) <br />23. <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(H+S CODE 252U (E) (F)) <br />COMMENTS <br />EH23-006 3/92 (REVISED 11\92) <br />