Laserfiche WebLink
NEN UST INSTALLATION INSPECTION RECORD y <br /> ACILITY NAME: ^* � _ � ADDRESS: <br /> FACILITY ID# TANK# <br /> / UL# TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: <br /> R.E.H.S: <br /> A I <br /> P N <br /> R 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 <br /> D S <br /> DATE ITEMOR EQUIPMENT INSPECTED <br /> 1. UST PLANS SUBMITTED/ FEES PAID <br /> (H+S CODE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3• INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br /> HOLIDAY: <br /> VACUUM: SOAP: PSI: NRS/MIN: <br /> BRINE(LI QUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: <br /> PSI: HRS/MIN: <br /> 5• TANK APPROPRIATELY PLACED WITH <br /> APPROVED BACKFILL <br /> (API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br /> (CCR 2636 (e)) <br /> 7• SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) (CCR 2636 (e)) <br /> HRS: (CCR 2635 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br /> PEI <br /> 10. OVERSPILL PERFORMANCE TEST <br /> 11• ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (b) (1) (C)) <br /> 12. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (b)) <br /> (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> 13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES <br /> 14• PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK DETECTION. (CCR 2632 (c) (2)) <br /> 16• PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2643 (c) (i)) <br /> 1'7• BALL FLOAT VALVES INSTALLED (CCR'2636 (g)) <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED <br /> 19• TANK ACCESS PORTS BROUGHT TO GRADE LOCKED AND WATERTIGHT) (CCR 2635 (b) (2)) <br /> API <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) <br /> 21. .MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2635 (a) (5)) <br /> 22. "C" FORM COMPLETED AND SUBMITTED (CCR 2632 (d)) <br /> 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2635 (d)) <br /> 24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (CCR 2630.2636) <br /> (H+S CODE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 <br />