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.rev uwt lM]�ALLA�tuM tMartLAiw xewxu <br /> FACILITY 4AME: r-44 614yz41 F -ADDRESS: <br /> FACILITY [Ot r-�b TA ^� 61ULt TANK MOGELMATRIAL: <br /> CAPACITY: oZD oOD PRODUCT: ro R.E.H.S: _ <br /> A I G <br /> ? M ALL TANKS TO ?E IMSTALE M ANO TESTED IM ACCORDANCE <br /> ? I PITH MAHUFACIURR VRITTER SPECIFICATIONS <br /> R T <br /> 0 1 <br /> Y A <br /> 'c L <br /> 0 S <br /> ITEM CR EQUIPMENT ENSPECTED <br /> OATE <br /> +-.;V,-611 I 1. UST PIANS A18MITTID/ FEES PAID (H+S COPE 25ZB7) <br /> 2. UST [NSTALLATICN PLANS APPROVE) <br /> / INITIAL INSPECTIONS <br /> r?� I INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: QF� <br /> U YA' M-/6 h SOAP: ?SI: HRSMIM. 3RINE(LIOUID ANNULAR): OTHER: <br /> "b <br /> PRIMARY TANK TEST: t/ac:uwmv PSI: HRS/MIN: hAl <br /> TANK APPROPRIATELY PLACED WITH APPROVED 3ACKFILL (API/PE?) <br /> tr77MN/� PIPING INSPECTORS <br /> �, ✓ IVht 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) S� a ",L,-(CGI 2636 (e)) <br /> 7. SEMNOARY PIP!HG CCKTAINMEMT TEST ?Sl.t �HRSMIN:2/A'OTHER: (CCI 7536 (e)) <br /> LAKE TEST ON ALL SIDIPS (24 HR. MIMI") Q, HRS: (CGI 2635 (a) (4)) <br /> 9. UNUSD TANK OPENINGS SEALED AND G"RRO.SlON PROTECT—) �` c <br /> OVERSPILL PERFORMANCE icST Cc:R 2635 (b) (1) (C)) <br /> pthlD-9-PIU <br /> 1. ALL PIPING AND FITTINGS CORROSION PRCTEC-M SCh ) <br /> 12. PIPING SLOPES 10 COU.LECION SUMP CC✓< 2636 (c)(1)) <br /> FINAL 01SPECTICH <br /> J y•0 PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> 11� y 614 PERFORMANCE TEST OF CONTINUOl15 MONITORING SYSTEM (PANEL) (CC! 2632 (c) (Z)) <br /> 11'x° 0 15. PERFORMANCE TEST OF LINE LEAK OETECIOH (CGI 2643 (a) (1)) <br /> PERFORMANCE TEST OF AUTOMATIC PIMP SYSTEM SHUT-OFF (CGI 2636 (9)) <br /> 1-I 1�a ✓ 17 BALL FLOAT VALVES [NSTAl I m <br /> OVERFILL PROTECTION INSTALLED/APPROVED CC/:i 2635 (b) (2)) <br /> 1 - All TANK ACCESS PORTS 3RaUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> . TANK INTEGRITY TEST (PASSING RARD COPY) (CCR Z635 (a) (5)) <br /> � 21. MONITORING Plan, RESPONSE PLAN AND LOG SOCK ON SITE (CCR 2632 (d)) <br /> ✓ "C^ FORM COMPLE'iD AND SUBMITTED (CCR Z635 (d)) <br /> 12.3. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR Z630-Z636) <br /> I l'1 CCI �I 4. ALL CIINDITIONS MET; FACILITY PERMIT [SSUD ()1+5 =OE 25284) <br /> =MMENTS: <br /> °N73-906 <br />