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FACILITY NAME: NEN UST INSTALLATION INSPECTION RECOR <br /> - • <br /> FACILITY ID# -�' ADDRESS <br /> TANK# ��)�/`>— <br /> CAPACITY: UL# TANK MODEL/MATERIAL: <br /> PRODUCT: <br /> A I <br /> P N <br /> P I ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> R T 141TH 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 /> 2. UST INSTALLATION PLANS APPROVED (H+S CODE 25287) <br /> INITIAL INSPECTIONS <br /> 3• INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br /> HOLIDAY: <br /> VACUUM: SOAP: PSI: <br /> HRS/MIN: BRINE(LIOUID ANNULAR): <br /> 4. PRIMARY TANK TEST: OTHER: <br /> PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br /> (API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br /> 7. SECONDARY PIPING CONTAINMENT TEST (CCR 2636 (e)) <br /> PSI: HRS/MIN: OTHER: <br /> 8• LAKE TEST ON ALL SUMPS (24 HR. MINIMUM)- - (CCR 263 (e)) <br /> - HRS: (CCR 26355 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br /> 10. OVERSPILL PERFORMANCE TEST PEI <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)(i)) <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 /> .16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2643 (c) (1)) <br /> 17. BALL FLOAT VALVES INSTALLED (CCR•2636 (B)) <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED <br /> 19. TANK ACCESS PORTS BROUGHT TO GRADE LOCKED AND WATERTIGHT). (CCR 2635 (b) (2)) <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) - API <br /> (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br /> FORM COMPLETED AND SUBMITTED (CCR 2632 (d)) <br /> (CCR 2635 ((CCR 2630-2636 <br /> 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED 636 <br /> 24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED ) <br /> COMMENTS: (H-S CODE 25284) <br /> EH23-006 9/95 <br /> 10 <br />