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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: TANK MODEL/MATERIALS <br /> ADDRESS:I TAii1C* �j!J� � . K ULit <br /> 4' <br /> CAPACITY: PRODUCT: <br /> A D <br /> P I ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDAMM <br /> P S WITH 11AIUFACTMES WRITTEN SPECIFICATIONS <br /> R A <br /> O P <br /> V P <br /> E R <br /> D 0 <br /> V <br /> E ITEM OR EQIIIPNW INSPECTED <br /> DATE D <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8)) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIMS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTA10y' : HOLIDAY: <br /> VACUUM- SOAP: Ps' {: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST- HRS/141m: <br /> 5. TANK APPROPRI (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> 6. PRIMARY PIPING T 1 (CCR 2635 (8) (4)) <br /> I U <br /> T. SECONDARY PIPING t i OTHER: (CCR 2635 (A) (4)) <br /> B. LAKE TEST ON ALL SLk <br /> 17 'R5: (CCR 2635 (A)) <br /> 9. UNUSED TANK OPENINGS �L � �p� jt (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE (CCR 2635 (A) (4)) <br /> 11. ALL PIPING AND FITTINGS 1IyI� (CCR 2635 (B)) <br /> 12. PERFORMANCE TEST FOR "ALL" (CCR 2632 (C) (2)) <br /> 13. PERFORMANCE TEST OF CONTINUOL ..,+IG SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (8) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> 14. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21. "C" FORT! COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br /> COMMENTS: <br /> E H 23--- <br />