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WE <br />FACILITY NAME: <br />c <br />SWEEPS# <br />CAPACITY: j <br />a <br />NEW I ISTALLATION INSPEOTION RE `RD <br />��. <br />ADDRESS- <br />TANKf ULf TANK L10DEL/fMATERIAL: /-)' <br />GIyyQf <br />i a PRODUCT: h 'Z R.E.H.S: <br />tAaAV Lr/� C4pp,441}&[INITIAL INSPECTIONS rD_ i✓ o .-� �' ,. 1_---M( I /,,* 's ?'A / l <br />A <br />I <br />K= L %fits' �' ' L- - a R 1 G <br />VACUUM: SOAP: PSI:0 HRIM 3 c) BRINE(LIQUID ANNULAR): u�� OTHER: <br />P <br />NALL <br />.� <br />TANKS TO BE INSTALLED AID TESTED IN ACCORDANCE <br />4. PRIMARY TANK TEST: 5 'i PSI: HRS IN: zO <br />f, <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />RT <br />14 <br />14. <br />1 <br />0 <br />I <br />` L <br />(CCR 2635 (A)) <br />V <br />A <br />(CCR 2635 (B) (5)) <br />9. <br />E <br />L <br />(CCR 2635) <br />BALL FLOAT VALVES INSTALLED <br />D <br />S <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 (A) (4)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />11. <br />ALL PIPING AMD FITTINGS CORROSION PROTECTED Re <br />1 �.Y,_; <br />V/ <br />- _ { <br />I <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />�. <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />tAaAV Lr/� C4pp,441}&[INITIAL INSPECTIONS rD_ i✓ o .-� �' ,. 1_---M( I /,,* 's ?'A / l <br />PIPING INSPECTIONS <br />/a <br />V1 <br />jd <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: �I ' <br />VACUUM: SOAP: PSI:0 HRIM 3 c) BRINE(LIQUID ANNULAR): u�� OTHER: <br />-� <br />(CCR 2635 (B) (4)) <br />/ <br />4. PRIMARY TANK TEST: 5 'i PSI: HRS IN: zO <br />f, <br />i2 "q • <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSI: HRS IN <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />/a <br />6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 HIM) -3 <br />(CCR 2632 (C) (2)) <br />(CCR 2635 (B) (4)) <br />/ <br />l� <br />13. <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSI: HRS IN <br />OTHER: <br />(CCR 2635 (A) (4)) <br />14 <br />14. <br />1 <br />8. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM)-�'�r� y Y_i qHRS: <br />` L <br />(CCR 2635 (A)) <br />15. <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />(CCR 2635 (B) (5)) <br />9. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(CCR 2635) <br />BALL FLOAT VALVES INSTALLED <br />(CCR 2635 (B) (6)) <br />�✓9�� 0 <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 (A) (4)) <br />(CCR 2635 (E) (2)) <br />+•`•(Ifi <br />11. <br />ALL PIPING AMD FITTINGS CORROSION PROTECTED Re <br />1 �.Y,_; <br />(CCR 2635 (B)) <br />FINAL INSPECTION <br />COMMENTS <br />EH23-006 3/92 <br />12. <br />PERFORMANCE TEST FOR -ALL- MONITORING PROBES <br />(CCR 2632 (C) (2)) <br />l� <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION . <br />(CCR 2632 (D) 2635 (B) (5)) <br />" V <br />15. <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br />(CCR 2635 (B) (5)) <br />16. <br />BALL FLOAT VALVES INSTALLED <br />(CCR 2635 (B) (6)) <br />�✓9�� 0 <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />(CCR 2635 (E) (2)) <br />+•`•(Ifi <br />18. <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />(CCR 2631 (D) (5)) <br />- _ { <br />I <br />19. <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />i <br />20. <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br />(CCR 2632 (E) (1) (2)) <br />'9 <br />✓ <br />21. <br />"C" FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (E)) <br />22. <br />MONITORING METHOD FOR ALL TANKS AMD PIPING APPROVED <br />(CCR 2641-2644) <br />23. <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(H+S CODE 25284 (E) (F)) <br />COMMENTS <br />EH23-006 3/92 <br />