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NEW UST lLWALLATION INSPECTION R <br />FACILITY NAME: Vev r o n lmw ADDRESS: 1107, S M ai r m... I.c T <br />SWEEPS# a 5 TANK# (j UL# G Z S l 2 L.I TANK MOOEL/MATERIAL: �•� X t 5 <br />CAPACITY: p o v PRODUCT: r t U L R.E.H.S: � )" <br />INITIAL INSPECTIONS <br />//-3v-4 Z <br />A <br />I <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: ✓ PSI: S' HRS/NIN:3ostln BRINE(LIQUID ANNULAR): OTHER: <br />P <br />MALL <br />TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />4. PRIMARY TANK TEST: PSI: 60 HRS/MIN: ( 0 r1 1H <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />R <br />T <br />8. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: ZY <br />0 <br />I <br />16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br />V <br />A <br />(CCR 2635) <br />„ <br />E <br />L <br />10. <br />OVERSPILL PERFORMANCE TEST <br />D <br />S <br />/et4 <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />21. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br />UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />//-3v-4 Z <br />✓Qe <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: ✓ PSI: S' HRS/NIN:3ostln BRINE(LIQUID ANNULAR): OTHER: <br />(CCR 2635 (8) (4)) <br />qjl� <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br />4. PRIMARY TANK TEST: PSI: 60 HRS/MIN: ( 0 r1 1H <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSI: 5 HRS/MIN: ?jv OTHER: <br />(CCR 2635 (A) (4)) <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />/'2 5^t 2 <br />✓Qe <br />6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br />(CCR 2635 (8) (4)) <br />qjl� <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br />,t <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSI: 5 HRS/MIN: ?jv OTHER: <br />(CCR 2635 (A) (4)) <br />�t <br />8. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: ZY <br />(CCR 2635 (A)) <br />16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br />9. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(CCR 2635) <br />„ <br />10. <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 (A) (4)) <br />�_2cI_ep <br />/et4 <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (8)) <br />FINAL INSPECTION <br />?.-Z(. _'I <br />- <br />4( <br />12. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (C) (2)) <br />-L-,z C, -S3 <br />/ <br />qjl� <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br />,t <br />r <br />14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (8) (5)) <br />�t <br />15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (8) (5)) <br />tr <br />J <br />16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br />V'^ <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br />„ <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br />19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br />21. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br />22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br />23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br />COMMENTS: Pro t Sy U \ a lc,*n i�r Uo/lc1 we <br />7H23-006 3/92 <br />