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FACILITY NAME: ';�N JU <br />FACILITY 10#,;23 11 9 <br />CAPACITY: 101 ®® O <br />NEW UST INSTALLATION INSPECTION RECORD r <br />yi"3 L U �_()� 1� �� F� ADDRESS: <br />TANK# UL# -7LJOI D d TANK MODEL/MATERIAL: tit; / <br />PRODUCT: i1 C' „ �✓ r/ R.E.H.S: IiZ2lyS3 <br />INITIAL INSPECTIONS <br />VI <br />j A <br />I <br />I <br />VACUUM: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br />(CCR <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />✓ <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />2632 <br />(c) (2)) <br />. <br />V <br />a <br />2635 <br />(b) (1) (C)) <br />E <br />L <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />D <br />S <br />(b)) <br />12. <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />2636 <br />(c)(1)) <br />Lf-- <br />0 <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br />2635 <br />(b) (2)) <br />UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTIONS <br />VI <br />INSPECTION AND TEST OF SECONDARY CONTAINMENT: j IOti'ci1011 AY: <br />�rm- <br />8. <br />VACUUM: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br />(CCR <br />PRIMARY TANK TEST: PSI: , HRS/MIN:,x' <br />Irl.. <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br />PIPING INSPECTIONS <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br />INSECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2636 (e)) <br />FINAL INSPECTION <br />_lIYAR i <br />8. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM)-- - HRS: <br />(CCR <br />2635 <br />(a) (4)) <br />^.. <br />✓ <br />9. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />PEI <br />2632 <br />(c) (2)) <br />. <br />OVERSPILL PERFORMANCE TEST <br />(CCR <br />2635 <br />(b) (1) (C)) <br />tail <br />TV <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR <br />2636 <br />(b)) <br />12. <br />PIPING SLOPES TO COLLECTION SUMP <br />(CCR <br />2636 <br />(c)(1)) <br />FINAL INSPECTION <br />_lIYAR i <br />LX <br />PERFORMANCE TEST FOR "ALL" MONITORING PROBES <br />(CCR <br />2632 <br />(c) (2)) <br />l <br />✓ <br />q1515 <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR <br />2632 <br />(c) (2)) <br />. <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />(CCR <br />2643 <br />(c) (1)) <br />) <br />tail <br />TV <br />/OA6 <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />(CCR <br />2636 <br />(g)) <br />17. <br />BALL FLOAT VALVES INSTALLED <br />I <br />Lf-- <br />0 <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />(CCR <br />2635 <br />(b) (2)) <br />�wtov, <br />77 <br />ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />API <br />,tTANK <br />//cJ nl <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR <br />2635 <br />(a) (5)) <br />21. <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br />(CCR <br />2632 <br />(d)) <br />0,62. <br />"C" FORM COMPLETED AND SUBMITTED <br />(CCR <br />2635 <br />(d)) <br />23. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />(CCR <br />2630-2636) <br />I24. <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(H+S <br />CODE <br />25284) <br />COMMENTS: <br />EH23-006 9/95 <br />10 <br />