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FACILITY NAME: <br />CAPACITY: <br />NEW US <br />TANK# <br />ALLATION INSPECTION RE8 <br />t / <br />MODEUMATER IAL: <br />I I INITIAL INSPECTIONS <br />d <br />A <br />I� <br />3. INSPECTION AND TEST Of SECONDARY CONTAINMENT: HOLIDAY: <br />VAaJUM: 2 SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />P( <br />WITH MANUFACTURER WRIT jEN SPECIFICATIONS <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />0 <br />I <br />3 <br />V <br />A <br />(CCR 2635 (B) (5)) <br />E <br />L <br />BALL FLOAT VALVES INSTALLEDacts cu�)i ` <br />5 B) (6)) <br />0 <br />S <br />17. <br />OVERFILL PROTECTION INSTALLED/APPROVED l: <br />(CCR 2635 E)(2)) <br />ITEM OR EQUIPMENT INSPECTED <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCiiD AND WA7 TIGHT) <br />(CCR 2631 (D) (5)) <br />z J <br />DATE <br />I <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />I <br />20. <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />�r <br />ldL <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />I I INITIAL INSPECTIONS <br />d <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 6 ` (CCR 2635 (B) (4)) <br />3. INSPECTION AND TEST Of SECONDARY CONTAINMENT: HOLIDAY: <br />VAaJUM: 2 SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br />7. SECONDARY PIPING CONTAINMENT TEST PSI HR /MIN: OTHER: (CCR 2635 (A) (4)) <br />% <br />, '� <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />(CCR 2632 (A) (2)) <br />4 CCR ) <br />9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED AA <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />�® <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 6 ` (CCR 2635 (B) (4)) <br />R -M3 <br />(CCR 2632 (C) (2)) <br />7. SECONDARY PIPING CONTAINMENT TEST PSI HR /MIN: OTHER: (CCR 2635 (A) (4)) <br />% <br />, '� <br />8• LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) <br />(CCR 2632 (A) (2)) <br />4 CCR ) <br />9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED AA <br />14. <br />• <br />10. OVERSPILL PERFORMANCE TEST y <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTEDZL ` (CCR 2635 (B)) <br />.a <br />FINAL INSPECTION <br />r dLIJ12. <br />PERFORMANCE TEST FOR -ALL- MONITORING PROBES :? <br />(CCR 2632 (C) (2)) <br />�( <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION ®K® <br />(CCR 2632 (D) 2635 (B) (5)) <br />15. <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />(CCR 2635 (B) (5)) <br />16. <br />BALL FLOAT VALVES INSTALLEDacts cu�)i ` <br />5 B) (6)) <br />17. <br />OVERFILL PROTECTION INSTALLED/APPROVED l: <br />(CCR 2635 E)(2)) <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCiiD AND WA7 TIGHT) <br />(CCR 2631 (D) (5)) <br />i r <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />20. <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br />(CCR 2632 (E) (1) (2)) <br />21.-C- <br />FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (E)) <br />22. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />(CCR 2641-2644) <br />23. <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(H+S CODE 25284 (E) (F)) <br />_ f / a>f . / �► <br />EH23-006 3/92 (REVISED r <br />tm <br />