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FACILITY NAME; NEW UST [NS7ALLATION INSPECTICN RECORD <br /> FACILITY ID# TANK# C/O—p1 p ADDRESS: <br /> CAPACITY; / ,p },q ULf 4,�J)-7 TANK NOOEL/MATERIAL: <br /> �Q vvU R.E.H-S: <br /> A I <br /> P N <br /> P I ALL TANKS TO Be INSTALLED AND TESTED IN ACCORDANCE <br /> R T WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> 0 I <br /> V A <br /> E L o�10 <br /> D 5 00 <br /> GATE ITEM OR EQUIPMENT INSPECTED <br /> !- UST PLANS SUBMITTED/ FEES PAID <br /> UST INSTALLATION PLANS APPROVED (4'S CCOE 5287) <br /> L/ INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br /> HOLIDAY: <br /> VACUUM: I,�+ SOAP: <br /> / PSI: HRS/MIN; BRINE(LIQUID ANNULAR); OTHER: <br /> 4- PRIMARY TANK TEST: <br /> NRS/MIN: <br /> APPROPRIATELY PLACED WITH APPROVED BACKFILL <br /> �I PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br /> (CCR 2636 (e)) <br /> SECONDARY PIPING CONTAINMENT TEST PS[: HRS/MIN: <br /> OTHER:Sp (CCR 2636 (e)) <br /> - <br /> Z �- ✓I LAKE TEST ON ALL SUMPS (24 HR- MINIMUM)- <br /> HRS: al)('J711/.Y (CCH 2635 (a) (4)) <br /> - UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br /> PEI <br /> �6 )/ OVERSPILL PERFORMANCE TEST <br /> PIPING AND FITTINGS CORROSION PROTECTED CCCR 2635 (b) (1) (C)) <br /> ALL <br /> (CCR 2636 (b)) <br /> PIPING SLOPES TO COLLECTION SUMP <br /> (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> 13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES <br /> J� /L (CCR 2632 (c) (2)) <br /> r/L I✓ ,per 4- PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br /> (CCR 2632 (U (Z)) <br /> 15. PERFORMANCE TEST OF LINE !EAK DETECTION W!'i'�..� I'CC jS;6" T�Ps�-(CCR 2643 (c) CT)) <br /> IY 4y ✓ PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 <br /> i <br /> BALL FLOAT VALVES INSTALLED <br /> Ifs ✓ OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> po. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND_WATERTIGHT). API <br /> .. ,�( ✓ TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> (�I1T •✓ 1. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br /> +' (CCR 2632 (d)) <br /> "C" FORM COMPLETED AND SUBMITTED - (CCR 2635 (d)) <br /> MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br /> (Na5 CODE 25284) <br /> COMMENTS: ? <br /> EH23-0O6 9/95 <br /> 10 <br />