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NEW UST INSTALLATION INSPECTION RECORD 40 <br />A I <br />P N ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />R T <br />0 I <br />V A <br />E L <br />a S <br />4 I ITEM OR EWIPMENT INSPECT® <br />DATE j <br />FINAL INSPECTION <br />13. <br />' <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 HIM) (CCR 2636 (e)) <br />i. UST PLANS ITTED/ FEES PAID (H¢S CODE 25287) <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />7. SECONDARY PINING CONTAINMENT TEST Pal: HRS'/MIN: . CCCR 2636 (e)) <br />15.PERFORMANCE <br />Z. UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTIONS <br />i 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VA . PSI: HRS/MIN: BRINECLIOUID ANNULAR): OTHER: <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />4. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br />17. <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (APIIPEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />13. <br />PERFORMANCE TEST FOR "ALL"MONITORING' PROBES <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 HIM) (CCR 2636 (e)) <br />14. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />7. SECONDARY PINING CONTAINMENT TEST Pal: HRS'/MIN: . CCCR 2636 (e)) <br />15.PERFORMANCE <br />TEST OF LINE LEAK DETECTION <br />N%. LAKE TEST ON ALL. SLIKPS (24 HR_ MINI ) HRS-* (CCR 2635 (a) (4)) <br />16. <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />4. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br />17. <br />BALL FLOAT VALVES INSTALLED <br />f IO. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br />18. <br />OVERFILL PROTECTION IHST /APPR <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br />14. <br />TANK ACCESS PORTS BROUGHT TO GRADE t AND WATERTIGHT) <br />12. PIPING SLOPES TO COLLECTION {CC:�I 2636 tc)C1)) <br />FINAL INSPECTION <br />13. <br />PERFORMANCE TEST FOR "ALL"MONITORING' PROBES <br />(CCR 2632 (c) (2)) <br />14. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (c) (2)) <br />15.PERFORMANCE <br />TEST OF LINE LEAK DETECTION <br />(= 2643 Cc) t1)) <br />16. <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />(CCR 2636 ($)) <br />17. <br />BALL FLOAT VALVES INSTALLED <br />18. <br />OVERFILL PROTECTION IHST /APPR <br />(CCR 2635 (b) (2)) <br />14. <br />TANK ACCESS PORTS BROUGHT TO GRADE t AND WATERTIGHT) <br />API <br />20. <br />TANK INTEGRITY TEST (PASSING COPY) <br />(CCR 2635 Ca) (5)) <br />21. <br />MONITORING PLAN, RESPONSE PLAN AM LOG SOOK ON SITE <br />(CCR 2632 (d)) <br />22. <br />OLN FORM COMPLUM AND MMITTED <br />(CCR 2635 (d)) <br />23. <br />$24. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />ALL CONDITIONS NET; FACILITY PERMIT ISSUED <br />(CCR 2630-ZO6) <br />CH+S CODE 25284) <br />COMMENTS: <br />