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/NEW UST IN&LLATION INSPECTION RECORD <br /> FACILITY NIOQ:: �V(, l..' �� �.I l px ADDRESS: <% U �y , / y i r ✓ �/ <br /> SllEEPSV ( �,�� 1' TANKS 3� —,;) L') j ULO TANK MODEL/NATERIAL: / a - , <br /> CAPACITY: )' 'j ,. PRODUCT: R.E.H.S. <br /> A I <br /> P N ALL TANKS TO BE INSTALLED AND TESTED IM ACCORDANCE <br /> P 1 WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (INS CODE 25287, CCR 2635 (D) (8) <br /> / i YJ, 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)3 <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION Alm TEST OF SECONDARY COWTAINMEXT: HOLIDAY: <br /> A <br /> VACUUM: SOAP: PSI: HRS/MIN: 9R1NE(LICUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: �, J HRSMIM: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (LCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (HIM]" 40 PSI/30 MIN) /p / (CCR 2635 (8) (4)) <br /> Ni tq 7. SECONDARY PIPING CONTAINMENT TEST PS[g jHRSMIM: 0THER: (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) <br /> 9. UNUSED TANK OPENINGS SEALED AMD CORROSION PROTECTED (CCR 2635) <br /> '� 0. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> 4'r 11. ALL PIPING Alm FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> 12. PERFORMANCE TEST FOR 'ALL- MCNITORIMG PROBES (CCR 2632 (C) (2)) <br /> 3. PERFORMANCE TEST OF CONTIM)CUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> -4433 VfLA 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR M32 (D) 2635 (B) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> �''olfb-{ BALL FLOAT VALVES INSTALLED (CCR M35 (B) (6)) <br /> rri VIW17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCTZED AMO/ WATERTIGHT) (CCR 2631 (D) (5)) <br /> 19. TANK INTEGRITY TEST (PASSING HARD COPY) r/_S - 3�(� ASS (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAIT, RESPONSE PLAN OG BOOK 011 SITI. (CCR 2632 (E) (1) (2)) <br /> A13 21. `C• FORM COMPLETED AMD SUBMITTED (CCR 2635 (E)) <br /> , _ 3 MONITORING METHOD FOR ALL TAMKS AM PIPING APPROVED (CCR 2641-2644) <br /> 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (HRS CODE 25284 (E) (F)) <br /> COMMENTS: <br /> E423406 3/92 <br />