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. , s <br />FACILITY NAME _ <br />FACILITY ADDRESS <br />SWEEPS # <br />46 NEW UST INSTALLATION RECORD 6 <br />TANK # <br />U.L. # <br />PRODUCT <br />DATE APPROVED DISAPPROVED RENS ITEM OR EQUIPMENT INSPECTED <br />1. UST INSTALLATION PLANS SUBMITTED & FEES PAID <br />2. UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTION <br />PIPING STAGE INSPECTION ®®oil/` %/ <br />1. HOLIDAY TEST (PLASTEEL) <br />2. AIR TESTED @ 5 PSI (FRP) <br />3. VISUAL INSPECTION OF 20 CONTAINMENT <br />4. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br />PIPING STAGE INSPECTION ®®oil/` %/ <br />FINAL INSPECTION <br />1. PRESSURE TEST [1' AND 20 PSI (FRP)] ®= <br />2. BALL FLOAT VALVES INSTALLED <br />3. OVERFILL PROTECTION INSTALLED, DESCRIBE: <br />4. UNUSED TANK OPENING SEALED & CATHODICALLY PROTECTED <br />5. VISUAL INSPECTION OF 20 CONTAINMENT ON PIPING <br />6. MONITORING PORTS IN PLACE & BROUGHT TO GRADE (LOCKABLE <br />WEATHER PROOF COVERS) <br />7. FILL & VENT PIPING BROUGHT TO GRADE <br />8. PRODUCT LINE LEAK DETECTOR INPLACE (HARD WIRED) <br />9. APPROVED UST LEAK MONITORING DEVICE INSTALLED <br />10. ALL GALVANIZED PIPING & FITTINGS PROPERLY WRAPPED <br />11, PRESSURE DECAY TEST ON COMPLETE UST & PRODUCT DELIVERY <br />SYSTEM <br />FINAL INSPECTION <br />nn a3 vvo �cccr.v <br />1. PRECISION TEST SUCCESSFULLY COMPLETED AND HARD COPIES <br />RECEIVED (NFPA 329) <br />2. SPILL PROTECTION AT FILL PIPE <br />3. PERFORMANCE TEST OF OVERFILL PROTECTION SYSTEM <br />4. PERFORMANCE TEST OF PRODUCT LINE LEAK DETECTOR (HARD <br />WIRED) <br />5. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM(S) ON <br />TANK(S) <br />6. PERMIT TO OPERATE APPLICATION COMPLETE <br />7. ACCEPTABLE RECORD KEEPING SYSTEM <br />nn a3 vvo �cccr.v <br />