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MEW UST INSTALLATION INSPECTION RECCRO <br /> FACILITY NAME: ADDRESS: <br /> 5 e , 1 0 r L1 <br /> FACILITY ID* TANK* UL! TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: <br /> A I <br /> P N ALL TANKS TO 3E INSTALLED AND TESTED IN ACCORDANCE _l <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS +L>> <br /> 0 I <br /> E L q, a <br /> D S <br /> ITEM OR EGUIPMEN7 INSPECTED <br /> DATE S�ucn'/ �j <br /> 1. UST PIANS SUBMITTED/ FEES PAID (H-S CODE 25287) i,,A <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACAJM: SOAP: PSI: HRSMIN: 3RINE(LICUID ANNULAR): OTHER: <br /> 4, PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED 3AaFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI130 .MIN) (CO2 2636 (e)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIM: OTHER: (CCR 2636 (e)) <br /> 8. LAKE icST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND =RROSiON PROTECTED PEI <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR Z636 (b)) <br /> I12. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> 13. PERFCR)WCE TEST FOR "ALL" MONITORING PROSES (CCR 2632 (c) (2)) <br /> 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (GOR 2632 (c) (2)) <br /> 5. PERFORMANCE TEST OF LINE LEAK DETECTION (Cu"R 2643 (c) (1)) <br /> 16. PERFORMANCE TEST Of AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (9)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION IN STALLED/APPROVED (CCR 26.35 (b) (2)) <br /> 19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 21. MONITCRING PIAN, RESPONSE PIAN AND LOG 300K ON SITE (CCR 2632 (d)) <br /> 22. "C" FORM COMPLETED AND SUBMITTED (CO2 Z635 (d)) <br /> I23 MONITCRING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> I24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> CCMMENTS: <br /> r YCj'r �� CLC'�1 J <br /> 4=e 15�7�• U <br />