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PIPING INSPECTIONS <br />6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br />NEW UST INSTALLATION INSPECTION RECORD <br />(CCR <br />FACILITY NAME. <br />(e)) <br />ADDRESS: <br />7. <br />FACILITY ID# <br />HRS/MIN: OTHER: <br />(CCR <br />TANK# <br />UL# <br />TANK MODEL/MATERIAL: <br />CAPACITY: <br />8. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) <br />NRS: <br />PRODUCT: <br />R.E.H.S: <br />(a) (4)) <br />A <br />I <br />9. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />PEI <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />OVERSPILL PERFORMANCE TEST <br />P <br />I <br />2635 <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />22."C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />R <br />T <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br />(CCR <br />2636 <br />0 <br />I <br />12. <br />PIPING SLOPES TO COLLECTION SUMP <br />V <br />A <br />(c)(1)) <br />E <br />L <br />D <br />S <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />1. <br />UST PLANS SUBMITTED/ FEES PAID <br />(H+S CODE 25287) <br />2. <br />UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTIONS <br />3. <br />INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br />HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: <br />BRINE(LIQUID ANNULAR): OTHER: <br />4. <br />PRIMARY TANK TEST: PSI: <br />HRS/MIN: <br />5. <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br />(API/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br />�s�/ / /,c <br />(CCR <br />2636 <br />(e)) <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSI: <br />HRS/MIN: OTHER: <br />(CCR <br />2636 <br />(e)) <br />8. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) <br />NRS: <br />(CCR <br />2635 <br />(a) (4)) <br />9. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />PEI <br />TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br />10. <br />OVERSPILL PERFORMANCE TEST <br />21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />(CCR <br />2635 <br />(b) (1) (C)) <br />22."C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br />(CCR <br />2636 <br />(b)) <br />24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br />12. <br />PIPING SLOPES TO COLLECTION SUMP <br />(CCR <br />2636 <br />(c)(1)) <br />FINAL INSPECTION <br />COMMENTS: VAl ( ^ Ul- / ,,cj/ <br />EN23-006 7/97 <br />10 <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 PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br />17. BALL FLOAT VALVES INSTALLED <br />18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br />19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br />TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br />21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />22."C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br />24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br />COMMENTS: VAl ( ^ Ul- / ,,cj/ <br />EN23-006 7/97 <br />10 <br />