Laserfiche WebLink
NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: Tk2?C ���J�� S�1lUjj ADDRESS: <br /> PR#/ln u[ ✓G1,4144,'( TANK# UL# j��; TANK MODEUMATERIAL: t,A-011 <br /> � <br /> COMPARTMENTALIZED TANK? (If yes, complete one form for each tank) YES 60) / <br /> TANK CAPACITY: GG�i PRODUCT: �w'�lG',��'� � (�;'ESd IAte <br /> DATE A INITIALS <br /> P <br /> P <br /> R ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE WITH MANUFACTURER WRITTEN <br /> v SPECIFICATIONS <br /> E <br /> D <br /> S o� 1. UST PLANS SUBMITTED AND FEES PAID (H&S CODE SECTION 25287) <br /> INITIAL INSPECTIONS <br /> q 0 V 3. INSPECTION AND TEST OF SECOODARY CONTAINMENT: HOLIDAY TEST: VACUUM: SOAP: <br /> v 4. PRIMARY TANK TEST- <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PFI) <br /> PIPING INSPECTIONS <br /> MbI �J. 6. PRIMARY PIPING TEST(MINIMUM 40 PSI/30 MIN) [CCR 2636(e)] <br /> 2 <br /> , SECONDARY PIPING CONTAINMENT TEST� PSI , <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 8. LAKE TEST ON ALL SUMPS(24 HR MINIMUM) HR& [CCR 2635(a)(4)]10, OVERSPILL PERFORMANCE TEST [CCR 2635(b)(1)(C)l <br /> 11.ALL PIPING AND FITTINGS CORROSION PROTECTED ICCR 2636(b)) <br /> 12, PIPING SLOPES TO COLLECTION SUMP [CCR 2636(c)(1)] <br /> t <br /> U <br /> FINAL INSPECTION <br /> 13, PERFORMANCE TEST FOR"ALL"MONITORING PROBES [CCR 2632(c)(2)) <br /> 14, PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM [CCR 2632(c)(2)] <br /> 15, PERFORMANCE TEST OF LINE LEAK DETECTION [CCR 2643(c)(1)] <br /> 16, PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT OFF [CCR 2636(g)l <br /> 17, BALL FLOAT VALVES INSTALLED <br /> 18, OVERFILL PROTECTION INSTALLED AND APPROVED [CCR 2635(b)(2)] <br /> 19, TANK ACCESS PORTS BROUGHT TO GRADE(LOCKED AND WATERTIGHT) API <br /> 20, TANK INTEGRITY TEST PERFORMED(HARD COPY SUBMITTED) rCCR 2635(a)(5)] <br /> 21, MONITORING PLAN RESPONSE PLAN.AND LOG BOOK ON SITE [CCR 2632(d)] <br /> 22, "C"FORM COMPLETED AND SUBMITTED [CCR 2635(d)] <br /> 23, MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED [CCR 2630-26361 <br /> 24, ALL CONDITIONS MET� FACILITY PERMIT ISSUED (H&S CODE 25284) <br /> COMMENTS___ <br /> - --------------------------- --- ----------------- ---------------- --- ----------------- <br /> EH23 006 3/15/02 <br /> 10 <br /> o� <br />