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NEG UST INSTALLATION INSPECTION RECORD <br /> FAC:LITY NAME: ADDRESS: �1 <br /> fAC:IITY ID# ' iANKY <br /> "50 UL`. TANK !MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: R•E H S= ` <br /> A I i <br /> P N ALL TANKS TO 3E 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 /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> OATS <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> 12. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> �'tOr INSPECTION AND TEST OF SECONDARY CONTAINMENT: 4OLI0AY: <br /> MO VACUUM: SOAP: PSI: 3 HRS/MIN: v 3RINE(LIQUID ANNULAR): OTHER: <br /> ® Q I PRIMARY TANK TEST: 15 <br /> PSI: 30 4RS/MIN: <br /> t I <br /> ® 131 / TANK APPROPRIATELY PLACED WITH APPROVED 3ACKFILL (API/PEI) <br /> V PIPING INSPECTIONS <br /> i. PRIMARY PIPING TEST (MINIMUM 4 ?St/30 MIN) (CC? 2636 (e)) <br /> SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2636 (e)) <br /> LAKE TEST ON ALL SUMPS (24 4R_ MINIMUM)' HRS: CCC? 2635 (a) (4)) <br /> UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PE <br /> ® � I0. OVE.RSPtLL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> j ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> 2- PIPING SLOPES TO COLLECTION SUMP (CCI 2636 (c)(1)) <br /> FINAL INSPECTION <br /> X13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCI 2632 (c) (2)) <br /> ( 114. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> (` <br /> PERFORMANCE TEST OF LINE LEAK OETECTION •fi"�s (CCI 2643 Cc) (1)) <br /> i PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHITE OFF (CCI 2636 (S)) <br /> II17. 3ALL FLOAT VALVES INSTALLED L^'\ G-f <br /> 8. OVERFILL PROTECTION INSTALL)/APPROVED (CCR 2635 (b) C2)) <br /> ® I I TANK ACCESS PORTS BROUGHT TO GRADE ANO•WATERTIGHT). API <br /> TANK INTEGRITY TEST (PASSING HARD COPY) CCI»? 2635 (a) (5)) <br /> 1_ MK1aMITORIN -PLAN, RESPONSE P N AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> "C" FORM COMPLETED AND SUBMIT (CC? 2635 (d)) <br /> MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> 4- ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H-S CODE 25284) <br /> COMMENTS: <br /> EH23-006 4 �`F s kff pry='UCS z- <br /> ®S ` i ee- fir 1 1 I <br />