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06/17/1998 17: 38 209-825-4251 B/W INN OF MANTECA PAGE 11 <br /> • <br /> NEW UST INSTALLATION INSPECTION RECORD • <br /> FACILITY NAME: <br /> ADDRESS: <br /> FACILITY IOM TANKM <br /> ULM TANK MODEL/MATERIAL- <br /> CAPACITY: <br /> PRODUCT: <br /> R.E.N.S: <br /> A 1 <br /> P N <br /> P I ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> R i WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> 0 1 <br /> V A <br /> E L <br /> D S <br /> DATE ITEM OR EOUIPMENT INSPECTED <br /> �. 1. UST PLANS SUBMITTED/ FEES PAID <br /> (X.S CODE 25287) <br /> I 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br /> HOLIDAY; <br /> VACUUM: SOAP: PSI: HRS/MIN: BRINE(LLOUID ANNULAR): <br /> OTHER: <br /> 4• PRIMARY TANK TEST: PSI: <br /> HRS/MIN: <br /> S. TANK APPROPRIATELY PLACED WITH APPROVED SACKFILL <br /> (API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) j <br /> U S ) (CCR 2636 (e)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2636 (e)) <br /> (-C 8. LAKE TEST ON AL1 L SUMPS (24 HR. MINIMUM) . a 'HRS: <br /> (CCR 2635 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br /> PEI <br /> 10. OVERSPILL PERFORMANCE TEST <br /> (CCR 2635 (b) (1) (C)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED <br /> (CCR 2636 (b)) <br /> 12. PIPING SLOPES TO fALLECif ON SUMP <br /> (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> 13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES <br /> (CCR 2632 (c) (2)) <br /> 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) - <br /> (CCR 2632 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK DETECTION <br /> (CCR 2643 (c) (1)7 <br /> 16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br /> (CCR 2636 (g)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED <br /> (CCR 2635 (b) (2)) <br /> 19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br /> API <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) <br /> (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br /> (CCR 2632 (tl)) <br /> 22• "C" FORM COMPLETED AND SUBMITTED <br /> (CCR 2635 (tl)) <br /> 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br /> (CCR 2630-2636) <br /> 24, ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br /> (HIS CODE 25284) <br /> COMMENTS: <br /> :X23-006 9/95 <br /> 10 <br /> JUN-17-1998 17:24 209 825 4251 95% P. 11 <br />