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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: G G�l1Cz�/D/� � i�p� ADDRESS: Z{G/S 6o11t GJf?e 44ofl <br /> 2�1'1'fd'rt1'le d; <br /> PR# TANK# UL# 131 TANK MODEUMATERIAL: <br /> COMPARTMENTALIZED TANK? (If yes, complete one form for each tank) YES <br /> TANK CAPACITY: PRODUCT: Sri l��s ` 4 1 �� 'S�:'�Gte <br /> O,0dj SoQ° <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 /> LLS'6 <br /> 041 v 1 2. US INSTALLATION PLANS APROVFD <br /> vd 74 <br /> INITIAL INSPECTIONS <br /> 11 3. INSPECTION AND TEST OF SE L N ARY CONTAINMENT: HOLIDAY TEST: VACUUM: SOAP: fA <br /> V vi, PSI-S_�R,I` HRS/MIN7 [ INE(LIQUID ANNULAR)- OTHER- <br /> ll6 <br /> l5. TANK APPROPRIATELY PLACED WITH APPROVED RACKFILL (API/PFI) <br /> PIPING INSPECTIONS <br /> 06 PRIMARY PIPING TEST(MINIMUM 40 PSI/30 MIN) fCCR 2636(e)l <br /> -V - 8- LAKE TEST ON ALL SUMPS(24 HR MINIMUM) HRS7 1QQR?Ea54a)(4)I <br /> 9 UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> RUA <br /> 10 OVERSPILL PERFORMANCE TEST [CCR 2635(b)(1)(C)] <br /> 11-ALL PIPING AND FITTINGS CORROSION PROTECTED rCCR 2636(b)l <br /> zl( <br /> 4fl 2. PIPING SLOPES TO('01 1 FCTION SUMP [CCR 2636(c)(1)] <br /> FINAL INSPECTION <br /> 13, PERFORMANCE TEST FOR"ALL"MONITORING PRORFS [CCR 2632(c)(2)] <br /> 14, PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM [CCR 2632(c)(2�1 <br /> 15 PERFORMANCE TEST OF LINE LEAK DETECTION I`CQR 2643(c)(1)1 <br /> 16- PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT OFF rCCR 2636(g)l <br /> 17 BALL FLOAT VALVES INSTAILLIFID <br /> 18 OVERFILL PROTECTION INSTALLED AND APPROVED rCCR 2635(b)(2)1 <br /> 19- TANK ACCESS PORTS BROUGHT TO GRADF(LOOKED AND WATERTIGHT) API <br /> 20 TANK INTEGRITY TEST PERFORMED(HARD COPY SUBMITTED) [CCR 2635(a)(5)] <br /> V 21- ONITORING PLAN RESPONSE PLAN.AND LOG BOOK ON SITE fCCR 2632(d)l <br /> 22, "C"FORM COMPLETED AND SUBMITTED I`CCR 2635(d)l <br /> 24, ALL CONDITIQNS MET� FACILITY PERMIT ISSUED (H&S CODE 25284)w23 MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED I`CCR 2630-26361 <br /> / COMMENTS___ <br /> EH23 006 3/15/02 <br /> 10 <br />