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rNEW UST INSTALLATION INSPECTION RECORD • <br />IFACILITY NAME: TV�1MYYlei SOCCi AIwRESS:'3304 ' aSl CtQmmer 4.ant { <br />=,^ILITY ID# TANK# ULS TANK MOOEL/MATERIAL: �- I <br />CAPACITY It, xo <br />PRODUCT: 4� �GSDIt'i1 R.E.H.5: <br />T <br />A <br />P 1 <br />µ I <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />I ( <br />P I <br />N I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />1 <br />R <br />T <br />$. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2535 (a) (4)) <br />I <br />16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF 2636 (9)) <br />I <br />i <br />v1AI <br />BALL FLOAT VALVES INSTALLED <br />I <br />D <br />S <br />I <br />!I <br />I <br />I ITEM OR EQUIPMENT INSPECTED <br />I DATE <br />` <br />I <br />�21. MONITORING PLAN, RESPONSE PIAN AND LOG 3OOK ON SITE (CCR 2632 (d)) <br />UST PIANS SUBMITTED/ FEES PAID iH+S CODE 25287) <br />TEST INSTALL ATIi1N PLANS APPROVED <br />I <br />I <br />22. "C' FORM COMPLETED AND SUBMITTED (CCDI 2635 (d)) <br />INITIAL INSPECTIONS <br />I I 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />t YAC .e1: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br />I I� <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />3 <br />5. TANK AppgOpgIATELYj PLACED WITH APPROVED SAMFSLL (API/PEI) <br />PIPING INSPEGILUNS <br />!;kCIlmVki3:1mlv(*!:i <br />I <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br />3 <br />I <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2636 (e)) <br />1 <br />15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br />$. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2535 (a) (4)) <br />I <br />16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF 2636 (9)) <br />9. MMUSED TANK OPENINGS SMED AND-CORROSPROTECT! PEI <br />117. <br />BALL FLOAT VALVES INSTALLED <br />110. OVERSPILL PERFORMANCE TEST fCCR 2635 (b) Cl) (C)) <br />! <br />! <br />1 <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2536 (b)) <br />19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API ' <br />112. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br />!;kCIlmVki3:1mlv(*!:i <br />COMMENTS: <br />I <br />13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 26:2 (c) (2)) <br />14. Paf-CtMANCE T -=ST IIF -CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br />15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br />16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF 2636 (9)) <br />117. <br />BALL FLOAT VALVES INSTALLED <br />1$. OVERFILL PROTECTM iifSTA;Lt2D/APPROVED ,Sat 2635 (b) (2)) <br />19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API ' <br />120. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br />�21. MONITORING PLAN, RESPONSE PIAN AND LOG 3OOK ON SITE (CCR 2632 (d)) <br />I <br />I <br />22. "C' FORM COMPLETED AND SUBMITTED (CCDI 2635 (d)) <br />i <br />�i23. MONTTORM MET#OD FOR ALL TARKS.AND PIPI.XG APPROVED (OCR 2630-2636) <br />j24. ALL CONDITIONS #TET: FACILITY PERMIT ISSUED (.H+S CODE 252u) <br />COMMENTS: <br />