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NEW UST I ' ALLATION INSPECTION RECO <br />FACILITY XAME: C'. JN RIS. I�L ADORE55: <br />SWEEPS? III I/JvI`� dV <br />TAN CS % <br />i i E: DLf TANK IImEL/NATERfAL <br />CAPAC I TY: G,76 0 0- 6 900 -a 00 <br />: PRODUCT: QIf...SEL 8 GAsoL-r n(L <br />A I <br />P M <br />P I ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE R T WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />0 1 <br />V A <br />E L <br />D S <br />DATE I I I ITEM OR EQUIPMENT INSPECTED <br />Z , D <br />V <br />2. <br />UST PLANS SUBMITTED/ FEES PAID <br />UST INSTALLATION PLAMS APPROVED <br />CX+S CODE 25287, CCR 2635 (D) (8) <br />(CCA 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />. <br />INSPECTION AND TEST OF SECONDARY CONTAINMENT:HOLIDA7: <br />M�iAA. <br />VACA.N/ SOAP: PSI: HRS/MIN: <br />PRIMARYTANK TEST: �pSl: <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL/ <br />BRINE(LIQUID ANNULAR): OTHER: <br />HRS/MIN:3. <br />plutt 2635 (A) (3) (4) (6)/ API/PEI) <br />(7 1k ✓ fl J• <br />Jy/I 18. <br />IZ.-I% f �,�. 19. <br />2 -/ 7 // 20. <br />Z _/7_`N M7 21. <br />'Z -/ 7 5 ✓ rM 22. <br />�z <br />COMMENTS: <br />`X23-006 3/92 (REVISED 11\92) <br />PIPING INSPECTIONS <br />PRIMARY PIPING TEST (MINIIMI.1 40 PSI/30 NIM) <br />SECONDARY PIPING CONTAINMENT TEST PSI: 5- HRS/MIN: 30 0TH <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />OVERSPILL PERFORMANCE TEST <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />FINAL INSPECTION <br />PERF ORIIA ICE TEST FOR •ALL• MONITORING PROBES <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />PER CE TEST OF LINE LEAK DETECTION <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />(TALL FLOAT VALVES INSTALLED <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />---------------------- <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOL'L'ED AND WATERTIGHT) <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />MONITORING PLAN, RESPONSE PLAN AND LOC, BOO( ON SITE <br />•C• FORM COMPLETED AND SUBMITTED <br />MONITORING METHOD FCR ALL TANKS AIB) PIPING APPROVED <br />ALL CONDITIONS MET; FACILIT7 PERMLT ISSUED <br />3 <br />rn,h . (CCA 2635 (B) (4)) <br />ER: (CCR 2635 (A) (4)) <br />(CCR 2635 (A)) <br />(CCR 2635) <br />(CCR 2635 (A) (4)) <br />(CCL 2635 (B)) <br />(CCR 2632 (C) (2)) <br />(CCR 2632 (A) (2)) <br />(CCR 2632 (D) 2635 (B) (5)) <br />(CCR 2635 (B) (5)) <br />(CCR 2635 (B) (6)) <br />(CCR 2635 (E) (2)) <br />(CCR 2631 (D) (5)) <br />(CCR 2635 (A) (5)) <br />(CCR 2632 (E) (1) (2)) <br />(CCR 2635 (E)) <br />(CCR 2641-2644) <br />(H+S CODE 25284 (E) (F)) <br />