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NEW UST IN"TALLATION INSPECTION RECOPT <br />fILITY NAME: ADDRESS: UU S <br /> ,WEEPS# �2 3��L/ TANK# UL# ZJ� 27ti TANK MCOEL/MATERIAI �E°� Sv�Ce <br /> CAPACITY: DOS PRODUCT: sv�Q/GAJ O R.E.H.S: E.e,�G IWin! <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 /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> f UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br />/ Q 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACLJM:/57 SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> Z6 9 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> l0 4 ✓ ( 6. PRIMARY PIPING TEST (MINIMLM 40 PSI/30 MIN) yo T Tp�/� (CCR 2635 (8) (4)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI:5 HRS/MIN: 6 D OTHER: (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) <br /> 1,4 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> V/ 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> (7 ct v 12. PERFORMANCE TEST FOR "ALL° MONITORING PROBES (CCR 2632 (C) (2)) <br /> 13. PERFORMANCE TEST OF CONTINUCUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> I ✓ � 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (8) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED AJ/ (CCR 2635 (B) (6)) <br /> 7. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> �� ✓ f/ 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> i <br /> 9. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> i <br /> 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br /> COMMENTS: <br /> -006 3/92 (REVISED 11\92) <br /> 1'5 ) <br /> s <br />