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NEW UST INSTALLATION INSPECTION ECP -RD <br />AM <br />FACILITY, 15M4771I J ADDRESS: A <br />Gam <br />swEang / sZU TANK# 7 TANK TERIAL: T�"'sco Sb,�, -►aa j <br />CAPACITY: /®.poA : SvP v/L R.E.H.S: <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 1 po / . :3� o '-ir <br />(CCR 2635 (B) (4)) <br />A <br />I <br />(CCR 2632 (A) (2)) <br />7. <br />P <br />N <br />ALL TADS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />(CCR 2632 (D) 2635 (8) (5)) <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: Z <br />R <br />T <br />16. <br />0 <br />I <br />UNUSED TANK OPENINGS SEALED AND MRROSION PROTECTED <br />(CCR 2635) <br />V <br />A <br />` <br />e' <br />E <br />L <br />(CCR 2635 U) (4)) <br />(CCR 2631 (D) (5)) <br />D <br />S <br />r 19. <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (8)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />MONITORING PLAN, RESPONSE PLAN AND LAG BOOK ON SITE <br />(CCR 2632 (E) (1) (2)) <br />/ <br />® 21. <br />-C- FORM COMPLETED AND SUBMITTED <br />1. UST PLANSSUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />Z��cf 9 <br />✓ <br />22. <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />3L7ZQS <br />✓ <br />3. INSPECTION AND TEST OF SECONDARY CONTAI HOLIDAY: <br />VACUUM: / (sw p PSI: NR Niilf� ap BRINE(LIOUID ): OTHER: <br />(H+S CODE 25284 (E) (F)) <br />s- <br />�s <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />-�/ 7 <br />✓ <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (L) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />` FINAL INSPECTION <br />/� ✓ <br />e'-,'12. <br />or <br />6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 1 po / . :3� o '-ir <br />(CCR 2635 (B) (4)) <br />®i 8 <br />"f <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />7. <br />SECONDARY PIPING COIITAINMENT TEST PSI: 53A HRS/MIN: OTHER: <br />(CCR 2635 (A) (4)) <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />(CCR 2632 (D) 2635 (8) (5)) <br />✓ <br />�r <br />B. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: Z <br />(CCR 2635 (A)) <br />A` <br />Iv <br />16. <br />BAIL FLOAT VALVES INSTALLED <br />9. <br />UNUSED TANK OPENINGS SEALED AND MRROSION PROTECTED <br />(CCR 2635) <br />® 17. <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />` <br />e' <br />10. <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 U) (4)) <br />(CCR 2631 (D) (5)) <br />9 <br />/ <br />r 19. <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (8)) <br />` FINAL INSPECTION <br />/� ✓ <br />COMMENTS: <br />EH23-006 3/92 (REVISED 11\92) <br />E•3 <br />e'-,'12. <br />PERFORMANCE TEST FOR -ALL- MONITORING PROBES <br />(CCR 2632 (C) (2)) <br />® 13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />r ®� <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />(CCR 2632 (D) 2635 (8) (5)) <br />® <br />15. <br />PERFORMANCE TEST OF AUTOMATIC SYSTEM SHUT-OFF <br />(CCR 2635 (8) (5)) <br />16. <br />BAIL FLOAT VALVES INSTALLED <br />(CCR 2635 (B) (6)) <br />® 17. <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />(CCR 2635 (E) (2)) <br />® 18. <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />(CCR 2631 (D) (5)) <br />9 <br />/ <br />r 19. <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />20. <br />MONITORING PLAN, RESPONSE PLAN AND LAG BOOK ON SITE <br />(CCR 2632 (E) (1) (2)) <br />/ <br />® 21. <br />-C- FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (E)) <br />22. <br />MONITORING METHOD FOR ALL TANKS AND PIPING <br />(CCA 2641-2644) <br />23. <br />ALL CONDITIONS LET; FACILITY PERMIT ISSUED <br />(H+S CODE 25284 (E) (F)) <br />COMMENTS: <br />EH23-006 3/92 (REVISED 11\92) <br />E•3 <br />