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*NEW UST INSTALIA*TION RECORD <br />FAC=Y NAME <br />FACILITY ADDRESS <br />SWEEPS # TANK # U.I. # PRODUCT <br />DATE APPROVED DISAPPROVED I RENS ITEM OR EQUIPMENT INSPECTED <br />1. UST INSTALLATION PLANS SUBM=D & FEES PAD) <br />2. UST INSTALLATION PLANS APPROVED <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 <br />MINIR'"plo ". <br />1. PRESSURE TEST (10 AND 20 (NFPA 30)] <br />2. BALL FLOAT VALVES INSTALLED <br />3. OVERFILL PROTECTION INSTALLED, DESCRIBE: <br />4. UNUSED TANK OPENING SEALED & CATHODICALLY PROTECTED <br />S. VISUAL INSPECTION OF 20 CONTAINMENT ON PIPING <br />6. MONITORING PORTS IN PLACE & BROUGHT TO GRADE (LOCKABLE <br />WEATHER PROOF COVERS) <br />7. FILL & VFANT PIPING BROUGHT TO GRADE <br />art 23 U (XhV 4-23-YI1 <br />8. PRODUCT LINE IZAX DETECTOR WLACE (HARD W=) <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 />MINIR'"plo ". <br />1. PRECISION TEST SUCCESSFULLY COMPLETED AND HARD COPIES <br />RECEIVED (NFPA 329) <br />2. SPILL PROTECTION AT FILL PIPE <br />3. PERFORIMANCE 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. PER3,11T TO OPERATE APPLICATION COMPLETE <br />7. ACCEPTABLE RECORD KEEPING SYSTEM <br />art 23 U (XhV 4-23-YI1 <br />