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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: ADDRESS: <br /> FACILITY ID# TANK# UL# TANK MODEL/MATERIAL: <br /> CAPACITY: <br /> PRODUCT: 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. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> 1136.61, <br /> VACUUM:i� AP' PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> 14.EEPRIMARY TANK T PSI: HRS/MIN: <br /> PPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> (CCR 2636 (e)) <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2636 (e)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br /> PEI <br /> OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> - 1. ALL PIPING AND FITTINGS CORROSION PROTECTED <br /> (CCR 2636 (b)) <br /> UZI <br /> 12. PIPING SLOPES 70 COLLECTION SUMP <br /> (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> !15 <br /> PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> PERFORMANCE TEST OF LINE LEAK DETECTION <br /> • (CCR 2643 (c) (1)) <br /> 16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> - t8. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> 9. TANK ACCESS PORTS BROUGHT 70 GRADE (LOCKED AND WATERTIGHT). <br /> API <br /> EINEGRY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 21. LAN, RESPONSE PLAN AND LOG BOOK ON°SITE (CCR 2632 (d)) <br /> 22. PLETED AND SUBMITTED (CCR 2635 (d)) <br /> 23. ETHOD FOR ALL TANKS AND PIPING APPROVED <br /> (CCR 2630-2636) <br /> NS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 <br /> 10 <br />