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QNEW UST INSTALLATION RECORD <br />FACILITY NAME <br />FACILITY ADDRESS <br />SWEEPS # TANK # U.I. # PRODUCT <br />DATE I APPROVED DISAPPROVEDQUIPMENT INSPECTEDREHs rr.Em OR E <br />L UST INSTALLATION PLANS SUBMITTED & FEES PAD) <br />2. UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTION <br />FINAL INSPECTION <br />1. HOLIDAY TEST (PLASTEEL) <br />1. PRESSURE TEST (10 AND 2() (NEPA 30)] <br />2. AIR TESTED @ 5 PSI (FRP) <br />3. VISUAL INSPECTION OF 20 CONTAINMENT <br />2. BALL FLOAT VALVES INSTALLED <br />4. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br />FINAL INSPECTION <br />1. PRESSURE TEST (10 AND 2() (NEPA 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 />WEATIiEllt PROOF COVERS) <br />7. FILL & VENT PIPING BROUGHT TO GRADE <br />EH 23 ()Ob MV 4-23-91-1 <br />8. PRODUCT LINE LEAK DETECTOR rNPLACE (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 />1. PRECISION TEST SUCCESSFULLY COMPLETED AND HARD COPIES <br />RECEIVED MA 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 />S. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM(S) ON <br />TANK(S) <br />6. PERMIT TO OPERATE APPLICATION COMPL—El E <br />7. ACCEPTABLE RECORD KEEPING SYSTEM <br />EH 23 ()Ob MV 4-23-91-1 <br />