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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: ADDRESS: <br /> FACILITY ID# TANKS ® C, ULIt -/'7°7s�!/ TANK MODELMATERIAL: <br /> CAPACITY: /0,,Vcyo/0,,VPRODUCT: r7tp 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 /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> � 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> ACUUM. f SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> ? 4. PRIMARY TANK TEST. PSI: HRS/MIN: 5c lr <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFTLL (API/PEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/3O MIH) ® (CCR 1.636 (e)) <br /> �Iy� 17. SECONDARY PIPING CMTAIM40T TEST PSI:5 HR INS jp OTHER: (CCR 2636 (e)) <br /> 8. LAKE TEST ON ALL SCRIPS (24 HR. MINIMUM) NRS: (CCR 2535 (a) (4)) <br /> ` I 9. UNUSED TANK OPENINGS SEAM AND CORROSION PROTECTED PEI <br /> 1 I 10. OVERSPILL PERFORMANCE TEST (CCZ 2635 (b) (1) (C)) <br /> V 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> PIPING SUES 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 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br /> 16. PERFORMANCE TEST OF AUTOMATIC PU14P SYSTEM SHUT-OFF (CCR 2636 (q)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/ (CCR 26M (b) (2)) <br /> 19. TANK ACCESS PMTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> I20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> (21. MONITORING PIAN, RESPONSE PIAN AND LOG SOOK ON SITE (CCR 2632 (d)) <br /> 22. "C" FORM COMPLETED AND SUBMITTED (CCR 205 (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: <br /> EN23-006 9/95 7 <br />