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Nr -vv Uai INbTALLATION INSPECTION RECORD <br />rACILtTY NAME :I-A <br />/cs <br />I ADDRESS: 111? ^, 455E7�0 <br />SA:EPSS TAMKS ' -- IAS TANK MODEL/MATERIAL: <br />CAPACITY: 7L�C,�/ z�L�L� PRODUCT: LTi /' `�/ R.E.H.S: <br />IL Fowl'W <br />12. <br />PERFORMANCE TEST FOR -ALL' MONITORING PROBES <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: BRIME(LIQUID ANNULAR): OTHER: <br />A <br />I <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: MRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ ADI/PEI) <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />R <br />T <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />dyhZ ✓ <br />0 <br />I <br />11. • ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br />V <br />A <br />(CCR 2631 (D) (5)) <br />E <br />L <br />(CCR 2635 (A) (5)) <br />D <br />S <br />(CCR 2632 (E) (1) (2)) <br />21. <br />"C• FORM COMPLETED AND SUBMITTED <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />22. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />(CCR 2641-2644) <br />Z3. <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />1. UST PLANS SUBMITTED/ FEES PAID (H -S CODE 25287, CCR 2635 (D) (8) <br />2.,_, --WT INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />IL Fowl'W <br />PIPING INSPECTIONS <br />12. <br />PERFORMANCE TEST FOR -ALL' MONITORING PROBES <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: BRIME(LIQUID ANNULAR): OTHER: <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: MRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) MRS: (CCR 2635 (A)) <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ ADI/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />✓ <br />27 <br />12. <br />PERFORMANCE TEST FOR -ALL' MONITORING PROBES <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 NIM) (CCR 2635 (B) (4)) <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: MRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />�. <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) MRS: (CCR 2635 (A)) <br />15. <br />PERFORMANCE TEST OF AUTOMATIC PUP SYSTEM SHUT-OFF <br />9. UNWED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br />16. <br />BALL FLOAT VALVES INSTALLED <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />dyhZ ✓ <br />17. <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />11. • ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br />FINAL INSPECTION <br />✓ <br />27 <br />12. <br />PERFORMANCE TEST FOR -ALL' MONITORING PROBES <br />(CCR 2632 (C) (2)) <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />�. <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />(CCR 2632 (D) 2635 (B) (5)) <br />15. <br />PERFORMANCE TEST OF AUTOMATIC PUP SYSTEM SHUT-OFF <br />(CCR 2635 (B) (5)) <br />16. <br />BALL FLOAT VALVES INSTALLED <br />(CCR 2635 (B) (6)) <br />dyhZ ✓ <br />17. <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />(CCR 2635 (E) (2)) <br />18. <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AMD/UATERTIGHT) <br />(CCR 2631 (D) (5)) <br />19. <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />20. <br />MONITORING PLAN, RESPONSE PLUM AND LOG BOOK ON SITE <br />(CCR 2632 (E) (1) (2)) <br />21. <br />"C• FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (E)) <br />22. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />(CCR 2641-2644) <br />Z3. <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(H+S CEDE 25284 (E) (F)) <br />EH23-" 3/92 (REVISED 11\92) <br />0 <br />