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NEW UST INSTALLATION INSPECTION RECORD <br />INITIAL INSPECTIONS <br />�3 L <br />D <br />A <br />P <br />I <br />N <br />!�► <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />S, <br />VACUUM: // SOAP: PSI: HRS/141W:_36BRINE(LIGUID ANNULAR): OTHER: <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />b <br />5. <br />R <br />T <br />/ <br />a <br />1V1 <br />4-7. <br />1 <br />0 <br />I <br />j <br />( <br />( 8. <br />V <br />A <br />Lf -16v <br />E <br />L <br />7—fo <br />6) <br />D <br />S <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 (b) (1) (C)) <br />_ <br />6 <br />✓ <br />ITEM OR EQUIPMENT INSPECT ED <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />oATE <br />7-2�1 <br />1 12. <br />® 6 <br />(CCR 2636 (c)(t)) <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br />�1 <br />UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTIONS <br />�3 L <br />D <br />V1 <br />INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />�vl 6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 7s, . ` 3 7 <br />VACUUM: // SOAP: PSI: HRS/141W:_36BRINE(LIGUID ANNULAR): OTHER: <br />.7 � y� 6 <br />� 4. <br />PRIMARY TANK TEST: PSI: .-3 HRS/MIN: 3c) <br />b <br />5. <br />TANK APPROPRIATELY PLACED WITH APPROVED SACXFILL (API/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />�,�� <br />✓ <br />(t/ <br />�vl 6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 7s, . ` 3 7 <br />(ccR 2636 (e)) <br />1 15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br />b <br />1 16. PERFORMANCE TEST OF AUT04ATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (Q)) <br />/ <br />a <br />1V1 <br />4-7. <br />1 <br />SECONDARY PIPING CONTAINMENT TEST PSI ;�, HRS/MIN:/ Z.7 OTHER: <br />(CCR 2636 (e)) <br />j <br />( <br />( 8. <br />L4KE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: Ez <br />(CCR 2535 (a) (4)) <br />Lf -16v <br />J 9. <br />UNUSED TANK OPENINGS LED ROSION PROTECTEDPEI <br />7—fo <br />6) <br />I �10. <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 (b) (1) (C)) <br />_ <br />6 <br />✓ <br />i11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CGt 2636 (b)) <br />7-2�1 <br />1 12. <br />PIPING SLOPES TO COLLECTION SUMP <br />(CCR 2636 (c)(t)) <br />FINAL INSPECTION <br />�,�� <br />✓ <br />1--413- PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br />Y <br />I4 <br />1 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br />1 15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br />b <br />1 16. PERFORMANCE TEST OF AUT04ATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (Q)) <br />17. BALL HAAT VALVES INSTALLED <br />18. OVERFILL PROTECTION INSTALLED APPROVED (CCR 2635 (b) (2)) <br />119. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br />Y �7_ <br />120. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br />MONITORING PLAN, ,RESPONSE PLAN AND LOG 300K ON SITE (CCR 2632 (d)) <br />122-t- FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />I123 MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2536) <br />124. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br />_' _ �.� � it I �+►< " ' / � ' : . � � .� <br />EH23406 9/95 7 <br />