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NEW UST INSTALLATION INSPECTION RECORD <br />FACILITY NAME: <br />- L <br />SWEEPS# <br />CAPACITY: <br />A I <br />p m ALL TANKS TO BE INSTALLED AND TESTED INACCORDANCE <br />P, I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />R T <br />0 1 <br />V A <br />E L <br />D S <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />( <br />A 1. UST PLANS SUBMITTED/ FEES PAID H+S CODE 25287, CCR 2635 (0) (8) <br />411 <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />joe'� <br />INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br />HOLIDAY: <br />VACUUM: SOAP: kr PSI: MRS)MIN: UINE(LIQUID ANNULAR): OTHER: <br />4, PRIMARY TANK TEST: PSI: MRS/MIN: <br />vv <br />5 TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />rlmp.L <br />PERFORMANCE TEST FOR "ALL" MPR OBE S <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 HIM) 1(CCR 2635,(B) C <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />SECONDARY PIPING CONTAINMENT TEST PSI:HRS/MtN: OTHER: (CCR 2635 (A) (4)) <br />iL_21- <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />HRS: (CCR 2635 M) <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) '4' V <br />k -T-13 <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR <br />116. <br />BALL FLOAT VALVES INSTALLED <br />OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (8)) <br />rlmp.L <br />COMMENTS: <br />EH234006 3/92 <br />PERFORMANCE TEST FOR "ALL" MPR OBE S <br />(CCR 2632 (C) (ZONITORING <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />CcCR 2632 (o) 2635 (9) (5)) <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />(CCR 2635 (8) (5)) <br />116. <br />BALL FLOAT VALVES INSTALLED <br />(CCR 2635 (8) (6)) <br />OVERFILL PROTECTION INSTALLED/ PPROVED <br />(CCR 2635 (E) C2)) <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />(CCR 2631 (D) (5)) <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />MONITORING PLAN, RESPONSE PLAN AM LOG BOOK ON SITE <br />(CCR 2632 CE) (1) (2)) <br />AF <br />1 <br />*CIO FORK COMPLETED AND SUBMITTED <br />CCCR 2635 (9)) <br />MONITORING MMETHOD FOR ALL TANKS AND PIPING APPROVED <br />(CCR 2641-2644) <br />ALL CONDITIONS NET; FACILITY PERMIT ISSUED <br />(lt+S CODE 25284 (E) CM <br />COMMENTS: <br />EH234006 3/92 <br />