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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: <br /> ADDRESS: F 917 <br /> PR# TANK# UL# TANK MODEL/MATERIAL: <br /> COMPARTMENTALIZED TANK? (If yes, complete one form for each tank) Q YES ❑NO <br /> TANK CAPACITY: PRODUCT: <br /> DATE INITIALS <br /> P <br /> R ,1� ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE WITH MANUFACTURER WRITTEN <br /> ,°I v SPECIFICATIONS <br /> E <br /> 0 <br /> 1. UST PLANS SUBMITTED AND FEES PAID H&S CODE SECTION 25287 <br /> 2. UST INSTALLATION PLANS APROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT:HOLIDAY TEST: VACUUM: <br /> SOAP: PSI: HRS/MIN: BRINE LI UID ANNULARI: OTHER: <br /> 4. PRIMARY TANK TEST: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL API/PEI <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST MINIMUM 40 PSI/30 MIN CCR 2636 e <br /> 7. SECONDARY PIPING CONTAINMENT TEST: PSI- <br /> S <br /> SI: HRS/MIN: OTHER: CCR 2636 e <br /> 8. LAKE TEST ON ALL SUMPS 24 HR MINIMUM HRS: CCR I a 4 <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED CCR 2635 b 1 C <br /> 10.OVERSPILL PERFORMANCE TEST <br /> 11.ALL PIPING AND FITTINGS CORROSION PROTECTED CCR 2636 b <br /> 12. PIPING SLOPES TO COLLECTION SUMP CCR 2636 c 1 <br /> 11 <br /> FINAL INSPECTION <br /> E9 � <br /> FOITORING PROBES CCR 2632 c 2FORUS MONITORING SYSTEM CCR 2632 c 2RFORMANCE TEST OF LINE LKDETECTION CCR 2643 c 1RFORMANCETEST OF AUTOMATIC PUMP SYSTEM SHUT OFF CCR 2636LL FLOAT VALVES INSTALLEDERFILTECTION INSTALLED AND APPROVED CCR 2635 b 2NK ACCESS PORTS BROUGHT TOGRADE LOCKED AND WATERTIGHT APINK INTEGRITY TEST PERFORMED HARD COPY SUBMITTED CCR 2635 a 5111 <br /> NITORING PLAN RESPONSE PLAN AND LOG BOOK ON SITE CCR 2632 dFORM COMPLETED AND SUBMITTED CCR 2635 d <br /> il <br /> 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED ICCR 2630-2636 <br /> 24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H&S CODE 25284 <br /> COMMENTS <br /> EH23 006 311x102 <br /> 10 <br />