Laserfiche WebLink
NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: <br /> YVA �10 Z5 E, <br /> ADDRESS: <br /> FACILITY ID# TANK <br /> # S O p 1 <br /> O / UL' TANK MODEL/MATERIAL: C <br /> CAPACITY: &'000 PRODUCT: <br /> R.E.H.S: <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 OD <br /> V A <br /> E L I� <br /> D S M <br /> DATE ITEM OR EQUIPMENT INSPECTED 15' I"AI N <br /> 1. UST PLANS SUBMITTED/ED/ FEES PAID (H+S CODE 25287) <br /> UST INSTALLATION PLANS APPROVED <br /> 1 INITIAL INSPECTIONS <br /> Lofty INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM:/,a,f� SOAP: PSI: HRS/MIN:36 -BRI E(LIDUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: NRS/MIN: <br /> 3049, TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> -/ - k" 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 .41N) (CCR 2636 (e)) <br /> - ! 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: <br /> (CCR 2636 (e)) <br /> LAKE TEST ON ALL SUMPS (24 4R. MINIMUM) HRS: <br /> p (� a� (CCR 2635 (a) (4)) <br /> a aK T t UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> V GVERSPILL PERFORMANCE TEST <br /> (CCR 2635 (b) (1) (C)) <br /> ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> �7- PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (e)(1)) <br /> FINAL INSPECTION <br /> �. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> -'7�- PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK DETEMON Uq ll— �JSf-(CCR 2643 (c) (1)) <br /> PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (B)) <br /> I ✓ BALL FLOAT VALVES INSTALLED <br /> OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b)-(2)) <br /> I/, I TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT). API <br /> ✓ TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> w i "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 (H+S CODE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 <br /> 10 <br />