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INSTALLATION INSPECTION RECORD <br />FAC:LITY AAME:4174z <br />FAC: Ll TY TANK.* UL.* TANK MCDELiMATE1tIAL: <br />CAPACITY: f'°'yf) PRODUCT: /", �� ,�) 2. c.Y.S: <br />INITIAL INSPECTIONS <br />• 7 1'7��. <br />A <br />I <br />CCS 2532 (c) C2)) <br />SE=HoARY PIPING C=AINMENT TES: PSI: ;iRS/MIN: OTHER: <br />P <br />M <br />ALL TANKS TO 3E INS%1LL:0 AND 1 ESTE D IN AC=RDANCr <br />PRIMARY TANK TEST: PSI: iRS/MIN: <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />R <br />T <br />(CCR 2635 (b) (1) 'C)) <br />3 -30- I I <br />0 <br />I <br />CCS 206 (b)) <br />3 ,q I V I LL. <br />V <br />A <br />2635 tb) C2)) <br />D, <br />E <br />L <br />API <br />0 <br />S <br />���' <br />I <br />MONITQRI PIAN, RE3Pa1,✓" 010 ON LAG 30SI <br />ITEM OR ECUIPME4T INSPECTED <br />OATe <br />( <br />"RM =MPL.4TED AND SUBMITTED <br />C" rO <br />(CCR 2535 (d) ) <br />�Z3. <br />MONITORING METHOD mR ALL TANKS ANO PIPING APPROVE) <br />1. UST PLAINS SUBMI y / r=—S PAID (..4-S CORE 25267) <br />24. <br />Z. UST tHSTALLATICH PLANS APPROVED <br />INITIAL INSPECTIONS <br />• 7 1'7��. <br />I <br />INSPEi.ION ANO 7OF SECONDARY MUTAINMENT: 10UDAY: <br />CCS 2532 (c) C2)) <br />SE=HoARY PIPING C=AINMENT TES: PSI: ;iRS/MIN: OTHER: <br />`IAC -AM: SOAP: PSI: HRS/MIN: 3RINE(LICUID ANNULAR): OTHER: <br />�� R SI <br />✓I <br />PRIMARY TANK TEST: PSI: iRS/MIN: <br />v/ <br />5. <br />TANK APPROPRIATELT PLACED WITH APPROVED 3ACXFiLL (API/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />,(L 3,4 <br />PRIMARY PIPING - (MINIMUM 44 PSI/30 .MIN) <br />CCzt 2536 (e)) <br />CCS 2532 (c) C2)) <br />SE=HoARY PIPING C=AINMENT TES: PSI: ;iRS/MIN: OTHER: <br />CCS 2636 (e)) <br />3 I V I <br />LAKE i'cST ON ALL SUMPS (24 HR. MINIMUM) pm l-'(4,',NIRS: <br />CCS 2535 Ca) (4)) <br />v/ <br />UNUSED TANK OPENINGS SEALED AND ==ICN PROTECTED <br />PE's <br />6. <br />OVERSPILL PERFORMANCE i� <br />(CCR 2635 (b) (1) 'C)) <br />3 -30- I I <br />1. <br />ALL PIPING AMC FITTINGS CORROSION PROTECTED <br />CCS 206 (b)) <br />3 ,q I V I LL. <br />PIPING SLOPES TO COLL2=10N SUMP <br />CCvR 2636 (c)(1)) <br />FINAL INSPECTION <br />,(L 3,4 <br />I <br />PERFCRMANCE TEST FM "ALL" NGNITORING PROBES <br />CCS 2532 (c) C2)) <br />mag- <br />4. <br />PERFORMANCE -,EST OF COMTINUOUS MONITORING SYSTEM 'PANEL) <br />(CGT 2632 (c) (2)) <br />' b,lq <br />v/ <br />PetFaRMANCS TEST OF LINE LEAK OETECAION <br />CCS 2643 Cc) (1)) <br />6. <br />PERFORMANCE TES OF AUTOMATIC PUMP SYSTEM SHUT -AFF <br />(CCR W6 (3)) <br />I17. <br />3ALL -FLOAT VALVES INSTALL <br />_^ <br />I <br />OVERFILL PROTECTION INSTALLM/APPROVED D(CCR <br />2635 tb) C2)) <br />D, <br />( <br />TANK AC -SS PORTS 3ROUGHT TO GRADE (LOCXM AND WATERTIGHT) <br />API <br />V/a <br />TANK IN ITY TEST (PASSING HARD MPY) <br />���' <br />I <br />MONITQRI PIAN, RE3Pa1,✓" 010 ON LAG 30SI <br />26;2 (d)) <br />3 d <br />( <br />"RM =MPL.4TED AND SUBMITTED <br />C" rO <br />(CCR 2535 (d) ) <br />�Z3. <br />MONITORING METHOD mR ALL TANKS ANO PIPING APPROVE) <br />CCC2 2630-206) <br />24. <br />ALL C=01TIOUS MET; FACILITY PERMIT ISSUED <br />Ci+SE ?5284) <br />Com' 4MENTS: 4 i t-) d l '}l, `71 J 4T1 C E� r-% c k <br />53�' L` �4�0,iL <br />y, tic %G t lel. ti c I., t u <br />:H23--306 9/95 T 4�� c�'l �, /i� :1 6a, "j; a <br />