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NEW UST INSTALLATION INSPECTION RE <br /> FACILITY NAME: ADDRESS: UtJ <br /> FAC:LITY ID# 7i TANK]( � I% TANK AMEL/MATERIAL: X <br /> CAPACITY: PRODUCT: tU Pte- UL M <br /> A I <br /> ? N ALL TANKS TO 3E INSTALLED AND TESTED IN AC=RDANC <br /> p I WITH MANUFACTURER.WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> OATS <br /> 1 1 1. UST PIANS SUBMITTED/ PErS PAID (H-S CSE 52873 <br /> UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY aINTAINMENT: HLIDAY: <br /> 11ACRSM: SOAP: PSI: HRS/N42N: 3RINE(LICUID ANNULAR): OTHER: <br /> 1 ( 14. PRIMARY TANK TEST: PSI: HRS/MIH: <br /> 1 I 1 5. TANK APPROPRIATELY PLACED WITH APPROVED 3ACXFTLL (API/PEI) <br /> PIPING INSPECTIONS <br /> ✓ ` PRIMARY PIPING TEST (141NIMM 40 PSI/30 MIN) (CCR 2636 (a)) <br /> 1 1 7. SEc=ARY PIPING CONTAIM40T TEST PSI: HRS/MIN: OTHER: CC= 2636 (e)) <br /> 14 qll ! 1 S. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: COCK 2635 (a) (4)) <br /> t G I f 9. ED TANK OPENINGS SEALAND CORROSION PROTECTED PEI <br /> l Ll I 10. CVERSPILL PERFORMANCE <br /> � 1 11. ALL PIPING AND FITTINGS CORROSION PROTECTED CCR 2636 (b)) <br /> �12. PIPING SLOPES id COLLEC?ION SUMP CC."t 2636 (W(1)) <br /> FINAL INSPECTION <br /> 1 �4 <br /> 13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CO 26-'2 (c) (2)) <br /> �I ✓ I 14. PER TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) CCO 2632 (c) (2)) <br /> 9]IP ( ✓ 1 5. PER CE TEST OF LINE LEAK DETECTION CCT 2643 (c) (1)) <br /> t1 5 ✓ 6. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF cax 2636 (s)) <br /> Zi-ip ( 117. 3ALL FLOAT VALVES INSTALLED <br /> M �� ✓ 11s. OVERFILL PROTE-'ION INSTALLED/ <CGT 2635 (b) (23) <br /> 1 9. TANK ACTS= PORTS 3RCUGHT TO GRADE (LOCXED AND WATE2TIGHT) API <br /> t R I 1 O. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 1 ( 121. MONITORING PLAN, RESPONSE PLAN AND LOG 3OOC ON SITE (CCT 2632 (d)) <br /> HIE/) "C" FORM C*LEM AUG SUBMITTED (CCR 26.35 (d)) <br /> t 9 V MONITORING METHOD MR ALL TANKS AUG PIPING APPROVEDCCCiZ 2630-2636) <br /> t i '24. ALL C:NDITIONS MET; FACILITY PERMIT ISSUED ( NODE 25234) <br /> COMMENTS: <br /> HH23-106 9/95 T <br /> l� <br />