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NEW UST INSTALLATION INSPECTION RECORD <br />FACILITY NAME: E-txQ j f2-4 tj ADDRESS: ig >Yv <br />S <br />SWEEPS3 7 3 TANKS 3 1118 MCOEL/MA RIAL: f G <br />CAPACITY: Z U Q /v <br />INITIAL INSPECTIONS <br />�Z <br />A <br />I <br />(CCR 2635 (8) (4)) <br />VACUUM: SOAP: '5� PSI: HRS/MIN: <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />HRS/MIN: <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATICNS <br />R <br />T <br />(CCR 2635) <br />�3 <br />0 <br />E <br />I <br />L <br />(CCR 2635 (A) (4)) <br />o <br />s <br />(CCR 2635 (8)) <br />CCCR 2635 (8) (6)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />(CCR 2635 (E) (2)) <br />=,41.UST <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />145 <br />PLANS SUBMITTED/ FEES PAID (H+S OWE 25287, CCR 2635 (0) (8) <br />., Z <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />IN <br />e� . UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />�Z <br />k 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br />HOLIDAY: <br />(CCR 2635 (8) (4)) <br />VACUUM: SOAP: '5� PSI: HRS/MIN: <br />BRINE(LIQUID ANNULAR): OTHER: <br />SECONDARY PIPING CONTAIN14EMT TEST PSI: HRS/MIN: 4 %OTHER: <br />PRIMARY TANK TEST: _ PSI: 5 <br />HRS/MIN: <br />' <br />JTANK APPROPRIATELY PLACED WITH APPROVED BACXFILL <br />(CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />/ ' PIPING INSPECTIONS <br />FINAL INSPECTION <br />PRIMARY PIPING TEST (MIMIMUM 40 PSI/30 HIM) s s�, <br />(CCR 2635 (8) (4)) <br />(CCR 2632 CC) (2)) <br />SECONDARY PIPING CONTAIN14EMT TEST PSI: HRS/MIN: 4 %OTHER: <br />(CCR 2635 (A) (4)) <br />PERFORMANCE TEST OF CONTINUC(1S MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />LAKE TEST ON ALL SUM (24 HR. MINIMM) HRS: <br />(CCR 2635 CA)) <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(CCR 2635) <br />�3 <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 (A) (4)) <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (8)) <br />FINAL INSPECTION <br />COWENTS: <br />EH23-006 3/92 <br />F <br />PERFORMANCE TEST FOR •ALL' MONITORING PR08ES <br />(CCR 2632 CC) (2)) <br />PERFORMANCE TEST OF CONTINUC(1S MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />f <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />(CCR 2632 (0) 2635 (8) (5)) <br />5/�j <br />�3 <br />PERFORMANCE TEST OF AUTOHATIC PUMP SYSTEM SHUT-OFF <br />CCCR 2635 (8) (5)) <br />BALL FLOAT VALVES INSTALLED <br />CCCR 2635 (8) (6)) <br />OVERFILL PROTECTION 1NSTALLED/APPROVED <br />(CCR 2635 (E) (2)) <br />I/ <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />(CCR 2631 (D) (5)) <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />CCCR 2635 (A) (5)) <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br />(CCR 2632 (E) (1) (2)) <br />'C• FORM COMPLETED AND SUBMITTED <br />CCCR 2635 (E)) <br />sXS. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />CCCR 2641-2644) <br />s� <br />ALL CONDITIONS NET; FACILITY PERMIT ISSUED <br />(H+S CODE 25284 (E) CF)) <br />COWENTS: <br />EH23-006 3/92 <br />F <br />