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NEW UST INSTALLATION INSPECTION RECORD <br /> FAC:LITY NAME: `l ADDRESS: <br /> FACILITY [D# t TANK% ULA TANK M06EL/MATERIAL: <br /> CAPACITY: PRODUCT: R.E.H.S: <br /> A iI <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 /> DATE <br /> 1. UST PLANS SUBMITTED/ F=-=S PAID (H+S CCOE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP- PSI: HRS/MIN: 3RINE(LICUtO ANNULAR): OTHER: <br /> 4. PRIMARY 7ANK TEST: PSI: HRS/MIN: <br /> i. TANK APPROPRIATELY PLACED 'KITH APPROVED 3ACKFTLL (Apt/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (.MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCT 2636 (e)) <br /> I <br /> 8. LAKE TEST ON ALL-SUMPS (24 HR. MINIMUM)- HRS: (CCR 2635 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> I10. OVERSPILL PERFORMANCE TEST (CCR Z635 (b) (1) (C)) <br /> 11. ALL PIPING AND F1iTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> i I12. PIPING SLOPES TOL."LLcCTION SUMP CCCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> I13. PERFORMANa TEST FOR "ALL" MONITORING PROBES (CCT 202 Cc) (2)) <br /> �14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) CCCR 2632 Cc) (2)) <br /> �15. PERFORMANCE TEST OF LINE LEAK OETECTION (CCR 2643 (c) (1)) <br /> 16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SNRT-OFF (CCR 2636 (9)) <br /> I17. BALL FLOAT VALVES INSTALLED <br /> I18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> 119. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND.WATERTIGHT). API <br /> I20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> (21. MONITORING PLAN, RESPONSE PLAN AND LOG 3OOK ON SITE (CCT 2632 (d)) <br /> 22. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> 123. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> 124. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: <br /> SH23-406 9/95 <br />