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AM NEW UST INSTALLATION INSPECTION RECORD <br /> �� ADDRESS ` <br /> FACILITY NARES \ P • <br /> - •7 _- � C_ i?- ��[.� <br /> FACILITY 10# j /,_ TANKS ULA TANK MODEL/MATERIAL: <br /> CAPACITY: �- CGy L Y PRODUCT: G L C_f R.E.H.S: <br /> A I <br /> P N ALL TANKS TO 3E INSTALLED AND TESTED IN ACCORDANCE <br /> P [ WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> O I <br /> V A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (N+S cmE 242871 <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: 8RINE(LICUID ANNULAR): OTHER.- <br /> 4. <br /> THER:4. PRIMARY TANK TEST; PSI. HRS/NIH: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED 3ACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MINS .1./L,0 '�' 636 <br /> D SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (Cut 2536 (e)) <br /> I .^ 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2535 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 10. OVERSPILL PERFORMANCE TEST (CCA 2535 (b) (1) (C)) <br /> 111. ALL PIPING AND FITTINGS CORROSION PROTECTED (Chit 2636 (b)) <br /> I12_ PIPING SLOPES TO COLLECTION SUMP (Cut 2636 (c)(1)) <br /> FINAL INSPECTION <br /> 13. PERFORMANCE TEST FOR "FILL" MONITORING PROSES (Ctrl 2532 (c) (Z)) <br /> 14. PERFORMANCE TEST OF CONTINUOUS MONITORING STSTEM (PANEL) (CSA 2632 (c) (Z)) <br /> i5. PERFORMANCE TEST OF LINE LEAK DETECTION (Cut 2643 (c) (1)) <br /> I16. PERFORMANCE TEST OF AUTOKATIC PUMP SYSTEM SHUT-OFF (GCA 2636 (9)) <br /> a 17. BALL FLOAT VALVES INSTALLED <br /> i8. OVERFILL PROTECTION INSTALLED/APPROVED (CCA 2635 (b) (2)) <br /> 19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG 3OOK ON SITE (Ci.'T 2632 (d)) <br /> 22. "C' FORM COMPLETED AND SUBMITTED (CCA 2635 (d)) <br /> 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (COR 2530-25.36) <br /> I24. ALL C"=(TIONS MET, FACILITY PERMIT ISSUED (H+S CME 25284) <br /> CCRMEHTS. <br /> EH23-106 9/95 7 <br />