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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: �P'���j 64AQ�' w ADDRESS: J , V' AwAl <br /> FACILITY ID# 3/g g_5 TANK#'50 7(._ 6 45 UL# P,&( W77 TANK MODEL/MATERIAL: <br /> CAPACITY: H }��ESE(� PRODUCT: JI R.E.H.S: L <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 /> 0 1 <br /> V A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> / 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> r) <br /> IgN112. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM:/p ,y SOAP: PSI: H M .- 30 BRINE(LIQUID ANNULAR): OTHER: <br /> tp//4 <br /> 4. PRIMARY TANK ST: PSI: HRS/MIN: <br /> V 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> (I /Q 1/ �S.S 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br /> ( ( / i Y" SECONDARY PIPING CONTAINMENT TEST PSI 4)1 N • ?a <br /> RS/ JOTHER: (CCR 2636 (e)) <br /> / I I,-ell <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> 1 Q jE 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> a�D�CI � I OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> 11 ( 9 12. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br /> y0 PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (9)) <br /> V �I 17. BALL FLOAT VALVES INSTALLED <br /> OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> ,' ..0ig <br /> TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 11 I 21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> "C" FORM COMPLETED AND SUBMITTED (LCR 2635 (d)) <br /> 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> 24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 <br /> 10 <br />