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Adik NEii UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: K 7t W /,3.-)L, ADDRESS: -6 �LECC <br /> FACILITY ID* 3 X1 TANKS ULS TANK MODEL/MATERIAL: <br /> CAPACITY: PRQUUCT: l...r R.E.H.S: <br /> A I ' <br /> P N ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> p [ 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 /> 5_i6-0 <br /> i — I 1. UST PLANS SUBMITTED/ FErS PAID (H+S CODE 252.87) <br /> - t/o�=/7 '2- UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: SRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/3O MIN) CCCT 2636 <e)) <br /> I� SECONDARY PIPING CONTAINMENT TEST PSI: HRS/VIN: OTHER: CCCT 2636 (e)) <br /> LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) NRS: (CCR 2635 (a) (4)) <br /> 9 <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> 9 ✓ I11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> I ol <br /> (12. PIPING SLOPES TO COLLECTION SUMP 2636 2636 (c)(1)) <br /> FINAL INSPECTION <br /> 13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> 6 I V/ 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <CCT 26.32 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK OETECTION (CCT 2643 (c) (1)) <br /> 0 I 6-r PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF CCCR 2636 (g)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> I19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> I20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> +21. MONITORING PLAN, RESPONSE PLAN AND LOG 3O0K ON SITE (CCT 2632 (d)) <br /> I22. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> qlqlO I I 2.3. MONITCRING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 200-2636) <br /> I24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CCOE 25284) <br /> COMMENTS: Zl_L % <br /> EM23-+006 9/95 7 <br />