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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: Rancho San Miguel ADDRESS: 1 +09 Airport Way, Stockton CA <br /> PR# TANK# 1 UL# TANK MODEUMATERIAL: Petro First <br /> COMPARTMENTALIZED TANK? (If yes, complete one form for each tank) ( YES) NO <br /> TANK CAPACITY: 20,000 PRODUCT: 87 Octane <br /> [DATE A INITIALS <br /> P <br /> P <br /> R ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE WITH MANUFACTURER WRITTEN <br /> v SPECIFICATIONS <br /> E <br /> 0 <br /> 1 INST PLANS SUBIVIIIIED AND FEES PAID (H&S CODESErTION 25287) <br /> 2. LIST INSTAL I-AIIQN PLANS APROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY TEST: VACUUM: SOAP: <br /> PSL -- -HRSZMIN, BRINE(I IOUIDANNULAR)- OTHER- <br /> 4. PRIMARY TANK TEST- <br /> 5 TANK APeROPRIATELY PLACED WITH AP2RMED BACKFILL (APliPEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY EI2IUQ TEST(MINIMIUM 40 PS113Q MIN) [('(,'R 2636(e)7 <br /> 7SECONDAgy eip[NG(-nNTAINMFNT TEST- p,,;I. HRS/MIN- OTHER- ICCR 26.36(2)1 <br /> 8- LAKE TEST ON ALI SUMPS(24 HE mumum) HRS- [CCR 2635(a)(4)1 <br /> I UNUSED TANK DEENUGS SEA' ED AND CORRQ,91QN PROTECTED P P I <br /> 11 ALL PIPING ANIQ FITTINUS CORROSION PRQTEQIED MCR 2636(h)l <br /> 12. PIPING SLOPF5 IQ COLLECTION SLimp <br /> FINAL INSPECTION <br /> 14, PERFORMANCE IESI QF CONTINUOUS MONITORING Sy,-,TFM ICC[3 2-632(r)(2)1 <br /> 16- PERFORMANCE TEST QEAUT-OMATIC P LIMP SYSTEM SHIJI DEE <br /> 17. BALL FLOAT VALVES INSTAI I Fn <br /> 18, OVERFILL PROTECTIQU-NSTALLED AND APPROVED [CCR 2635�b)(Zl. <br /> 19- TANK AC(-F=S,-,PORT;BEQUQHT TO GRADE(LOCKED AND WATFRILGHT) 6PI <br /> 20 1ANK INTEGRITY TEST PERFORMED(LIA13D COPY 511 JBMITTED) rCCR?635(a)(S)l <br /> 21- MONITORING El AN BESPONSE PLAN AND LOG BQQJJDN SITE [CCR2632(d)l <br /> 22,"C"FORM MMELETED AND SUBMITTED [C('R 2635(d)l <br /> 23 MQNITORING METHOD FOR ALL JANKE AND PIPING APPROVED fQCR 2630-263BI <br /> ALL CONDITIONS MET-FACILITY PERMIT JSSUFD (H&SQQDF 252a I <br /> COMMENTS <br /> EH23 066 3115/02 <br /> I0 <br />