Laserfiche WebLink
NEN UST INSTALLATION IHS?ECT ICN REC"..RO <br /> FACILITY NAME: ADDRESS: <br /> FACILITY IO" iANK`7 /8 / — 03 UL: TANK 4COEL/MAIcRIAL: <br /> CAPACITY: a PRCOLCT: R•=•:H.S: <br /> ci <br /> A I <br /> P N ALL iANKS TO 3E INSTALLED AND TESTED IN ACCCROANCE <br /> p I VITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> T <br /> a t <br /> V A <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PUNS SUBMITTED/ FEES PAID (H+S C=E 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> i 3. INSPECTION AND TEST OF SECONDARY =NTAINMENT: HOLIDAY: <br /> VAC": SOAP: PSI: .HRS/MIN: 3RINE(LICUIO ANNULAR): OTHER: <br /> PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY ?'.AC, WITH APPROVED 3ACKFTLL (API/PEI) <br /> PIPING CNSPECTTCNS <br /> PRIMARY PIPING TEST iyINIMUM 4 PSI/30 MIN) (CCR 2636 (e)) <br /> ScC:NOARY PIPING =NTAINMENT TEST PSI: �J IRS/MIN: OTHER: CC= 2636 Ce)) <br /> '+ - 1 I SLAKE TEST :N ALL-SUMPS (24 HR_ MINIMUM)- NRS: a (CCR 2635 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND =RROSICN PROTECTED ?cr <br /> I 110. OVERSPILL PERFORMANCE TEST k),� 4_k p CZ 2635 (b) (1) (C)) <br /> 1 �^'a CC <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECT 0 (CCR 2636 (b)) <br /> �3-5 y�i ✓ 2_ PIPING SLCPES 70 _L_=C•,ION SUMP (CCR 2636 (C)(1)) <br /> j q �[/}�j� FINAL iNSPE�ION <br /> a-1 oZ"y 1 IU,�A°WYJ^ PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 Cc) (2)) <br /> ( PERFORMANCE IES; OF =MTINUCUS .MONITORING SYSTEM (PANEL) CCC.R 2632 (c) (2)) <br /> 2.I�_(// ✓ I",}��,—�r PERFCRMANC TEST OF _`XE LEAK OETECTICN -0 tAX,'S�rtCL (C:R 264.3 C c) (1)) <br /> I I IVI 16. PERFORMANCE TEST OF AUTOMATIC POMP SYSTEM SHUT-OFF CCCR 2536 (g)) <br /> 117. BALL FLOAT VALVES INSTALLED <br /> J I 18. OVERFILL PROTECTION [NSTALLO/APPRCVED (CCR 2635 (b) (2)) <br /> 119. TANK ACCESS PORTS 3RCUGHT TO GRADE (LOCKED AND_'aATERTIGHT) APT. <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 205 (a) (5)) <br /> I� 1. MONITOR PLAN, RESPON!E,,�AN AND LOG 3CCK ON SITE (CCR 2632 CC)) <br /> 22. "C" FORM CCTMPIL ED AND SUBMITTED (CCR 26.35 (d)) <br /> IA- <br /> (�p MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (C-_R 26.30-2636) <br /> /7 <br /> 124.� AL: CrNDITICNS MET; FACILITY ?�MI7 ISSUED (H+S CSE 25Z34) <br /> COMMENTS: <br /> E:23-006 9/95 <br /> IQ <br />