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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: d ADDRESS: <br /> FACILITY ID# TANK# UL; TANK MOOEL/MATERIAL: <br /> CAPACITY: 4l PRODUCT: all- P ! R.E.H.S: G <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 I <br /> V A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 71A&' <br /> UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> f N� UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM:/6 f , SOAP: PSI: HRS/MIN: `` BRINE(LIQUIO ANNULAR): OTHER: <br /> PRIMARY TAN1 TEST: � a-6 /D PSI: HRS/MIN: Q <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED B CKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (PFJ S! l��rn��CCR 2636 <br /> q, ,Q I 7. SECONDARY PIPING CDNTAINMEYT TEST PSI: HRS/MIN: j OTHER: (CCR 2636 (e)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM)' HRS: (CCR 2635 (a) (4)) <br /> Lf�l 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> Vp.�fg J O. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> 1. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> L U 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) n (CCR 2632 (c) (2)) <br /> T 15. PERFORMANCE TEST OF LINE LEAK DETECTION .a� L�S fSZQ�C (CCR 2643 (c) (1)) <br /> „ PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br /> ✓I BALL FLOAT VALVES INSTALLED <br /> 00 8. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (23) <br /> 6 e,&9. TANK ACCESS PORTS BROUGHT TO GRADE CLOCKED AND.WATERTIGHT) API <br /> 7- � <br /> TANK INTEGRITY TEST (PASSING HARD COPY) ,u (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK 6H SITE (CCR 2632 (d)) <br /> �! "C” FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> I24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: pAj z <br /> EH23-006 9/95 <br /> 10 <br />