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NEW UST TALLATION INSPECTION RECq&D <br /> FACILITY NAME: ADDRESS: e <br /> SWEEPS# Tmi# UL# TANK NODEL/MATERIAL: <br /> CAPACITY: R.E.N.S: <br /> A I <br /> P N ALL TANKS TO BE INSTALLED AND TESTED IM ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> O I <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAI HOLIDAY: <br /> VACUUM: SOAP: PSI: MRS/MIN: BRIME(LIQUID ): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: MHRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) i (CCR 2635 (B) (4)) <br /> TrtA-7. SECONDARY PIPING CONTAINMENT TEST PSI: S MHRS/MIM:3 OT (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SU141PS (24 HR. MINIMUM) MRS: ( (A)) <br /> 30-q3f rl 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROFECTED ( ) <br /> /r 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) _ <br /> FINAL INSPECTION <br /> 12. PERFORMANCE TEST FOR •ALL• MONITORING PROBES (CCR 2632 (C) (2)) <br /> I d% 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> 14. PERFORMANCE TEST OF LIMN= LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> (!� 16_ BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/ (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> r <br /> 19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21_ 'C■ FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> V�® _ MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br /> COMMENTS. 7-6-cis. as Zlon._ ur S/ e ^A-jr S s <br /> EH23-006 3/92 <br />