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NEW UST I TALLATION INSPECTION RECO <br />lqw <br />FACILITY NAME: ADDRESS: <br />SWEEPS)! TANK# UL# TANK MODEL/MATERIAL: <br />CAPACITY: PRODUCT: R.E.H.S: <br />A I <br />P N <br />P I <br />R T <br />0 I <br />V A <br />E L <br />D S <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />DATE I I I ITEM OR EQUIPMENT INSPECTED <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />PIPING INSPECTIONS <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br />T. SECONDARY PIPING CONTAINMENT TEST PST: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 22635 (A)) <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2635 (8) (4)) <br />T. SECONDARY PIPING CONTAINMENT TEST PST: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 22635 (A)) <br />9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (8)) <br />FINAL INSPECTION <br />COMMENTS: <br />EH23-006 3/92 (REVISED 11\92) <br />H. <br />12. PERFORMANCE TEST FOR •ALL' MONITORING PROBES (CCR 2632 (C) (2)) <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br />14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br />15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br />16. BALL FLOAT VALVES INSTALLED (CCR 2635 (8) (6)) <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br />19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br />21. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br />22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br />23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br />COMMENTS: <br />EH23-006 3/92 (REVISED 11\92) <br />H. <br />