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NEL UST INSTALLATION INSPECTION RECORD <br /> ' ADDRESS: d-�J� N l41, <br /> FACILITY NAME: L /_ <br /> FACILITY ID* TANK# UL) ��L/& TANK MODEL/MATERIAL: <br /> PRODUCT: /h�, ^ R.E.H.S: UJ <br /> CAPACITY: (- �e� '"� �� <br /> A I <br /> p N ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> O I <br /> V A <br /> E L <br /> 0 5 <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> YI' - G� 1 ✓ I 11. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> AA l� <br /> INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> i <br /> nE <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT:VACUM: v,,& SOAP: PSI: HRS,(II � BRINE(LIOUIO ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> 6, PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) _�)L RnFt,l (CCR 2636 Cell <br /> df 7, <br /> ✓ SECONDARY PIPING CONTAINMENT TEST PSI: NRS/MIN: OTHER: (CCR 2636 (e)) <br /> iiI <br /> ✓/ I ,� a, LAKE TEST ON ALL SCRIPS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> Lz�°KILl <br /> ccDR z63s m) cn (cn OVERSPILL PERFORMANCE TEST ALL PIPING ANO FITTINGS CORROSION PROTECTED (CCR 2636 (bll PIPING SLOPES TO COLLECT TON SUMP <br /> (CCA 2636 (c)(1)) <br /> FINAL INSPECTION <br /> (C�/I(e ✓ �. 13. PERFORMANCE TEST FOR "AIL" MONITORING PROBES <br /> (CCR 2632 (c) (2)) <br /> p IX I I p 114. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> IJP 15-_ PERFCRKUCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br /> Lw L 1t6• pERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCA 2636 (9)) <br /> 117, BALL FLOAT VALVES INSTALLED <br /> 7 (CCR 2635 (b) (2)) <br /> `Alyv S(` I i1 118• OVERFILL PROTECTION INSTALLED/APPROVED <br /> f IIS.tj I 11( 119, TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> �120. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (S)) <br /> I21, MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> •• /49 II22, "C^ FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> p23, MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> 1124. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> / <br /> i <br /> 1411�COMMENTS: 77 <br /> E423-006 9/95 T <br />