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4E14 UST INSTALLATION INSPECTION REC= <br /> FACILITY NAME: P6 j ADDRESS: 4 61L `!J ���,��� -S <br /> F <br /> FACILITY [0# TANKS UL* TANK MCOEL/MA—jERRIAL: <br /> CAPACITY: PRODUCT: <br /> A I <br /> P N ALL TANKS TO 3E INSTALLED rind TESTED IN AC=RDAfiC <br /> P I VITH MANUFACTURER WRITTEV SPFCIFICAT'ICNS <br /> R T <br /> O I <br /> V A <br /> E L <br /> D S <br /> ITEM OR EWIPME4T [NSPECTM <br /> DATE <br /> r1. UST PLANS SUBMITTED/ FEES PAID (H;S COOE SZ87) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSP£C11CNS <br /> 1 13. IMSPEr-71CN AMC TEST OF SECC)MDARY =UTAINME4T: HOLIDAT: <br /> VACIA)IM: SOAP: PSI: HRS/MIN: 3RINE(LICUId ANNULAR): OTHER: <br /> PRIMARY TANK TEST: PSI: NRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED BATH APPROVsS 3ACKFILL CAPI/PEI) <br /> PIPING IMSPE{:TIOMS <br /> 6. PRIMARY PIPTMG TEST (MINIMUM 4 PSI/3D MIM) I= 2636 (e)) <br /> 7. SEG"NDARY PIPING COMTAINME4T TEST-4PSI: f HRS/MIN: OTHER: ICER 2636 (e)) <br /> criral0 (�a ✓ V 8. LAKE —,.ST ON ALL SUMPS (24 HR_ MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> v-1 9. UNUSED TANK OPENINGS SEALED AND =RROSIOM PROTECTED PEI <br /> �� AI OVERSPILL PERFORMANC-t: TEST (C:X 26.35 (b) (1) CC)) <br /> 1�- V ALL PIPING AND FITTINGS O RROSIOH PROTECTED (CCR 2636 (b)) <br /> 2. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> u FINAL iNSPE!i ICH <br /> I I ✓ <br /> PERFORMANCE TEST RR "ALL" 40NITCRING PROBES ICG 2632 (c) (2)) <br /> ^Y L� PERFORMANCE TEST OF CONTINUOUS MCNISCRING SYSTEM (PAMEL) (CCZ 2632 (c) (2)) <br /> d � 15. PERFORMANCE TEST OF LINE LEAK DETE(;ION (C 2643 Cc) (1)} <br /> PERFOR14ANCE TEST OF AUTCMATIC PUMP SYSTEM SMUT-OFF (CCR 2636 (0) <br /> 17. &ALL FLOAT VALVES INSTALLED-oil OVERFILL PROTECTICN INSTALLED]/APPRCVEJ (CCR 2635 (b) (2)) <br /> w, <br /> o + } TANK ACCESS PORTS BROUGHT TO GRADE (LZCXM AND WATERTIGHT) API <br /> _23_6 1 I TANK [MTEGRI37 TEST (PASSING HARD COPY) (= 2635 (a) (5)) <br /> WNITCRING PLAN, RESPONSE PLAN AND LOG 3OOK ON SITE (CCR 2632 (d)) <br /> ,��422. "C^ FORM CCMPLETED AND SUBMITTED„ ?' (CCR 26:5 (d)) <br /> SJ4V MONITORING METHOD FOR ALL TANKS ANQ PIP APPROVED (C.C;t 2630-2636) <br /> va7! ALL =XOITIONS MET; FACILITY PERMIT IS-191€D (H+S CJDE 25Z84) <br /> v f2J M o <br /> G�4MENTS: <br /> EH23-U6 9/95 T <br />