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RECORD <br /> av UST INSTALLATION INSPECTION <br /> ADDRESS: �y jZa7 <br /> FACILITY NAME: �� Gi/ !� IAL: <br /> UL*'d1-C'77/�lZ.TANK <br /> TANK# L�O�G R.c.g.S: '% <br /> FACILITY lD# <br /> ?RCDtSCf: <br /> CAPACITY: �p0v <br /> A T ALL TANKS tO BE INSTALLS) AM TESTED IN AC�AN= <br /> P N 412TH MAWFACTURE2 �ti CTEH SPECIFICATIONS <br /> P I <br /> R T <br /> O I <br /> V A <br /> E L <br /> ® ST INSPECT'm <br /> tTII7 OR E�IIPMEH <br /> (H+S CODE 25287) <br /> DATE FEES PAID <br /> UST ?IAMB yygMITT®! <br /> 2B <br /> Z. UST (NSTALLATIOt PLANS APPROVED <br /> INITIAL tHSPECT'NIS <br /> HOI,iDAY: <br /> y C�fTAINMEHT: <br /> tNSPECT2ON AND OF 3RINE(LIGULD ANNULAR): 01)iER: <br /> SOAP' <br /> PSI: HR <br /> L w a rr <br /> VACIaA'1: HRS/MIN: <br /> PSI: <br /> PRIMARY TANK TEST: (APT/PEI) <br /> TANK APPIPING <br /> PLAN UtTH APPROVE) 3ACXFILL <br /> /`j�'i ✓ I 5- PIPING INSPEC:IO <br /> .� CCZDt 2636 <e)) <br /> INImm »O PSIl3O 67t7 Pjl — <br /> PRIMARY PIPING Q <br /> _ (CLR 2636 (e)) <br /> ST (14 AIT TEST PSIIN'�j' SIN: 3t7 SER: <br /> Fl 7. SECONDARY <br /> PIPING CONT HRS: (CCR 2635 (a) (4)) <br /> LAKE TEST 00 ALL SUMPS (24 HR. MINIMUM) PEI <br /> V_ 9. tllAISED TANK SINGS SEALED OS"MPRO"ICTED (CCR 7635 (b) (1) (C)) <br /> OyERSPtLL PER S (CCR 2636 Cb)) <br /> Ia. <br /> 1, ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (c)(1)) <br /> 3p g7 I COLLECTION <br /> SUMP <br /> I 112. PIPING SLOPES TO <br /> FINAL tNSPECT'OM <br /> <t�1I 2632 (c) C2)) <br /> M�IITORING PROBES <br /> i- PERFORMANCE TEST FOR. eAu'o CCGt 2632 (C) C2)) <br /> CONTINUOUS ITORING STSM (PANEL) <br /> 4- PERFORMANCETEST aFCwt 2643 (c) (1)) <br /> DETECTION <br /> I 15. PERFORMANCE TEST OF LINE LEAK (CCR 2636 (4)) <br /> / paFORKANCE TEST OF pV'TOMATIC PIMP <br /> y-ysl SNUr-QFF <br /> ;-5 Cb) (2)) <br /> /// �,, I ✓ / 17. <br /> BALL FLOAT VALVES INSTALLS) (CCR 26 <br /> FILL PROTECTION IHSTALLED/APPROVED API <br /> 18. OVER <br /> �n )BOUGHT TO GRADE (Cat A1� 41ATERTIGNT) <br /> 19. TANK ACCESS (Cat 2635 (a) C5)) <br /> ✓ L, '120. TANK INTEGRITY TEST (PASSING HARD COPY) (� Z <d)) <br /> O11 SITE <br /> 1. <br /> M NITORING PIAN, RESPONSE PUN AND LOG BOOK (CLR 2635 (d)) <br /> FORM COMPLETED AND SUBMITTED (� 263O-2636) <br /> ll � I <br /> +IOlIITCRING . ALL,TANKS AND PIPING APPROV© <br /> (HSS CODE 25284) <br /> I 24. ALL �{DITIONS MET/ FACILITY Peat'MIT ISSUED <br /> 3, '`of yGe,c f'( <br /> yliri <br /> CMMENTS: q ®+C <br /> ji boo-r' <br /> vF .r G <br /> eH23-306 9/95 T <br />