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M UST INSTALLATION INSPECTION RECORD <br /> ADDRESS: <br /> FACILITY NAME: p�,r}�,Q G'ii !� ,�,_t77 G' <br /> FACILITY (DO <br /> TANKS pE6® ul. 1.5 TANK EL!(U►T W-: <br /> CAPACITY: l p d() <br /> A I ALL TANKS TO SE INSTALLED AND TESTED IN ACCORDANCE <br /> P N WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> P <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EGUIPMEHT INSPECTED <br /> DATE C)!+S CGDE 25287) <br /> I I 1• UST ?CNS SUBMITTED/ FEES PAID <br /> ` g7I ✓ I y2, UST INSTALLATION PLANS APPROVED <br /> / INITIAL INSPECTIONS <br /> INSPEL7tcf AND TEST OF SECONDARY <br /> CONTAINMENT: HOLIDAY: <br /> �qy SLAP: ?SI: H IN* SRINE(LICASID ANNULAR): OTHER:* <br /> K�1M- qry f �'6 <br /> ?SI: HRS/MIN: <br /> PRIMARY TANK TEST: <br /> (APT/PEI) <br /> 5, TANK APPROPRIATELY PLACED WITH APPROVED 3AC>;FTLL <br /> PIPING INSPECTIONS <br /> b. PRIMARY PIPING TEST (Mimi" LA PSI130 MIN) f @ 3D Z636 <o)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST ?SI:�"��HRS <br /> OTHER: CCS 26'36 (e)) <br /> I HRS: (cam 2635 <a) (4)) <br /> g, LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) <br /> I PEI <br /> IHJ <br /> 9. USEG TANK OPENINGS SE�ALE) ANU CORROSION PROTECTED <br /> (CCA Z635 (b) (1) CC)) <br /> G K 1 10. OVERSPILL PeFi7RMANm TES <br /> Q I ✓ 11. ALL PIPING AND PITTINGS CORROSION PROTECTED <br /> (CGZ 2636 (c)(1)) <br /> 12, PIPING SLOPES TO COLLECTION SUMP <br /> FINAL INSPECTiION <br /> S li 6I I v I�ICCCZ Z632 (c) (2)) <br /> PERFORMANCE TEST FOR -ALL" MONITORING PROSES <br /> 13. <br /> / <br /> O �f I !/ I 14. CONTINtKAJS MOlITORYNG SYSTEM (PANEL) (CCR 22 (c) (2)) <br /> PER C8 TEST OF <br /> 2543 Cc) <1)) <br /> PERFORMANCE TEST OF LINE LEAK OETECIIOM <br /> (CCR 2636 (S)) <br /> 16. PERFORMANCE TEST OF AUTOMATIC PW SYSTEM SHUT-OFF <br /> BALL FLOAT VALVES INSTALLED <br /> OYEiRFILL PROTECTION INSTALL®/APPROVED <br /> CK t 26335 Cb) (2)) <br /> (� AP I <br /> // ��I ✓ I19. TANK ACCESS PORTS 3R000HT TO GRADE (LOCKED ANO WATERTIGHT) <br /> 2535 Ca) CS)) <br /> fI20. TANK INTEGRITY TEST (PASSING HARD COPY) <br /> CCCZ <br /> (¢ '� I f%t 21, MONITORING PWT. <br /> ,RESPONSE PIAN AND LOG 300K ON SITE (CCZ 26'x2 Cd)) <br /> (CCR 263'5 (d)) <br /> C.JMPLETED AND SUBMITTED <br /> f 123, MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br /> (= Z630-W6) <br /> '®I24. ALL =01TIONS NET; FACILITY PERMIT ISSUEDCH;S CODE 25284) <br /> f� v <br /> CC14MEKTS: ' -►"7 <br /> 6 <br /> v' w -7f <br /> Z%10-006 9/95 T <br />