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NEVSTJWTALLATION INSPECTIOOEC <br /> FACILITY 1UME: G"d5 ADDRESS- <br /> .L +) <br /> S6EEPSS TAUX9 ULt f ® TANK TUTAL: <br /> CAPACITY- : R.E-t.S: <br /> A I <br /> P N ALL TAM15 M BE INSTALLED AND TESIM IN <br /> P E WITH KMOFACTURER URITiEN SPECIFICATIOtS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S <br /> ITM Cit EQUIPMENT INSPEC?ED <br /> DATE <br /> 1. UST PLANS ITrW/ FEES PAID (H+S CME 25287, CCt Z635 (D) (8) <br /> 2. UST IjWALLATIOt PLANS APPROM CCCit 2635 CE) (5)) <br /> INITIAL INSPECTIMM <br /> 3. IXWECnCN AND TEST OF SEMOMY CMTAI _ Y: <br /> Y : PSI: IN: (o BRINECLIalo ): OTHE3t:J40 SM <br /> 0 , 4. PRDau TANK TESL: PSI: <br /> 57- IN: 6O W1`N <br /> 5. TAXK APPOOMIATELT PLACED WITH APPROVED &ACXFILL t[x3i 2635 (A) C3) (4) (6)/ APT/Ml) <br /> PIPING IxSPECncKs <br /> 6. PRIMARY PIPING TEST (MINDM 44 PSI/M MIN) ( CCCrt ZM5 (B) (4)) <br /> 7. SEC=ARY PIPING CONTAINIENT TEST PSI: q NRSAIN: gd 0THER: C= 2£35 CA) C4)) <br /> srn I <br /> 8. LAM TEST ON ALL ZMPS (24 U. MINIM M) HRS: (CM 2635 CA)) <br /> 9. I== TANK MEMINGS SLUM AND CMMOSICM PIRMECTED 2635) <br /> { 10. MEIMILL PBLFMMAUCE TEST CCCR 2635 (A) (4)) <br /> B 11_ ALL PIPING AND FITTINGS COMOSICU PROTEMM C= 2635 CIN)) <br /> FINAL. INSPECITCH <br /> 1Q q 12. PERFORKANCE TEST FCR •1144` MDNITGRING PRCBES C= Z63Z (L7 (2)) <br /> ® / 13. PERFcRKv= TEST OF CMMXUMM NXITCLRING SYSTEM (PANEL) C= Z632 CA) C2)) <br /> PERFORMANCE TEST OF LINE LEAK DEIEcntx (CLR 2632 co) 2635 (S) (5)) <br /> b 15. PELOCRKANCE TEST OF AUTCHATIC PUMP SMMf SHUT-GFF c= 2635 (8) (5)) <br /> 16. BALL.RMT VALVES INSTALLED c= 2635 (S) t6)) <br /> .� 17. OVERFILL PROTEMCM INSTALLED/ (CCR 2635 CE) (2)) <br /> ® 18. TANG AccEss POM 3RmXXT M GRADE CUXXED AND VATERTIC03T) c= 2631 co) CS)) <br /> 19. TANK INTEGRITY TEST (PASSING BARD COPY) CCC3t 2635 CA) CS)) <br /> 20. MOLITC3RSNG PLAN, RESPONSE PLAN AND LOG BOD[ ON SITE C= 2632 CM (1) CM3 <br /> 21. •C` FC7tlt CCWLETED AND SUBMITTO c= 2635 W) <br /> 22_ MONITORING METHOD FOR ALL TANKS MID PIPING APPROVED C= 2641-2644) <br /> 23. ALL CMITIONS NET; FACILITY PERXIT I CH+S CODE 25284 CE) (F)) <br /> 341ENTS. <br /> L3-4C36 3/92 (REVISED 11\92) <br /> R <br />