Laserfiche WebLink
' . ivcrr �� 1 IIVJ I NLU-C-I IVfV IfVJrc�, I ,�(v riCl.VhiU <br /> T12 <br /> ;::tLlTy NAME: �� a <br /> '-n c&-( ADDRESS: / -� <br /> SWEEPS! TANK! ULP gTANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: /"t u �1 �c�t cce�J R.E.H.S: <br /> A I <br /> P M ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH KA)fUFACTURER WRITTEN SPECIFICATIONS <br /> R T nl-e <br /> 0 I / jC <br /> V A O(a <br /> E L <br /> D S S4ec <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SLNIMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION OAND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: BRIME(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/IIIM: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2635 (B) (4)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER, (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SUMPS (24 MR. MINIMUM) MRS: (CCR 2635 (A)) <br /> 9. UNUSED TANK OPENINGS SEALED AMD CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> 12. PERFORMANCE TEST FOR •ALL' MONITORING PROBES (CCR 2632 (C) (2)) <br /> 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SMUT-OFF (CCR 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> 17. OVERFILL PROTCTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCA 2631 (D) (5)) <br /> 19. TANK INTEGRITY TEST (PASSING HARD COPT) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21. 'Cu FORM COLLETED AMD SUBMITTED (CCR 2635 (E)) <br /> Z2. MONITORING METHOD FOR ALL TANKS AMD PIPING APPROVED (CCR 2641-2644) <br /> Z3. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br /> COMMENTS: <br /> EH23-006 3/92 <br />