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AMOL NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: --j_Pe j P(A ADDRESS: l4�017d <br /> FACILITY ID#A 3 TANK#VYQ71* C"� UL#36/ TANK MODEL/MATERIAL: <br /> CAPACITY: rvw ��� PRODUCT: V/ R.E.H.S: r5 +lc %JY� <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 /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> ( INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: i" SOAP: PSI: HR M N• 2)� BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK EST: PSI: NRS/MIN: <br /> TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br /> SECONDARY PIPING CONTAINMENT TEST PSI: HRS(!FS-V OTHER: (CCR 2636 (e)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: L4 r (CCR 2635 (a) (4)) <br /> i� ✓ //// 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> LI VJ 1. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> 2. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> au- 9YIV PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> '1 15. PERFORMANCE TEST OF LINE LEAK DETECTION (LCR 2643 (c) (1)) <br /> -'b PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (B)) <br /> 17. BALL FLOAT VALVES INSTALLED /VY y /� <br /> OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> ✓ TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> _I TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> 2. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> 1 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (LCR 2630-2636) <br /> 24. ALL CONDITIONS MET, FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 <br /> 10 <br />