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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: AMOA ®/ ADDRESS: <br /> FACILITY ID* TANK# ULA -1 TANK MOOELIMATERIAL: <br /> C,6 C74 <br /> CAPACITY: PRODUCT: /�P ,® R.E.H.S: �. <br /> A I <br /> P N ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <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 /> DATE <br /> �1 I 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 01641-713, INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VA SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> !/ 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> I 6. PRIMARY PIPING TEST (MINIMA 40 PSI/30 MIN) (CCR 2636 (a)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: 15 HRS/MIH: OTHER: (CCR 2636 (e)) <br /> 8. LAKE TEST ON ALL SNMPS (24 HR. MINIMUM) NRS: (CCR 2635 (a) (4)) <br /> N UNUSED USED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> I10. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> 1. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> PIPING SLOES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> (13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 Cc) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br /> 16. PERFORMANCE TEST OF AUTOMATIC PIMP SYSTEM SHUT-OFF (CCR 2636 (4)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED CLLR 2635 (b) (2)) <br /> 19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) APT <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> I (21. MONITORING POI, RESPONSE PLAN AND LOG SOCK ON SITE (CCR 2632 (d)) <br /> 22. °C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> I23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> I24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: /J?' 5� �° <br /> EH23-006 9/95 T <br />