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NEW UST JWTALLATION INSPECTION REC <br /> IF <br /> FACILITT NAME: ADDRESS: <br /> SUEEPSS TANKS ULS TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: <br /> A I <br /> P M ALL TANKS TO BE IMSTALLED AND TESTED IM ACCORDANCE <br /> P I PITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCI 2635 (D) (8) <br /> .j UST INSTALLATION PIANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3_ INSPECTION AND TEST OF SEMNOARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PST: MRS/MIM: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: MRS/MIM: <br /> (` 5. TANK APPROPRIATELY PLATED WITH APPROVED SAMFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> a+ 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIM) ec (CCR 2635 (B) (4)) <br /> J Itia T. SECONDARY PIPING CONTAINNElCT 7EST` tPSI: MRS/MIM: L OTHER: (CCR 2635 (A) (4)) <br /> 8_ DIKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 26.35 (A)) <br /> !� 9. UMUSFD TANK OPEMINGS SEALED AND CORROSIOM PROTECTED (CCR 7635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> 1. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (C) (2)) <br /> PERFORMANCE TEST OF COITfINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> �D 9 4. PERFORMANCE TEST OF LIME LEAK DETECTION (CXR 2632 (D) 2635 (B) (5)) <br /> PERFORMANCE TEST OF AUTOMATIC PIMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CXR 2635 (8) (6)) <br /> 7. OVERFILL PROTECTION INSTALLED APPROVED (CXR 2635 (E) (23) <br /> IC9 ZQ 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCXED AND UATERTIGHT) (CCR 2631 (D) (5)) <br /> 1 9. TANK INTEGRITY TEST (PASSING HARD COPT) (CCR 2635 (A) (5)) <br /> 0. MONITORING PLAN, RESPONSE PLAIT AND LOG BOOK ON SITE (CCR 2632 (E) Cl) (2)) <br /> 21. •C' FORM COMPLETED MID SUBMITTED (CCR 2635 (E)) <br /> 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-7644) <br /> l6 _ ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br /> CCtMMENTS: <br /> EH23-006 3/92 (REVISED 11\92) <br /> 3 <br />