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NEW "ST INSTALLATION INSPECTION "RD ` �N <br /> FACILITY MAKE: ADDRESS: <br /> SI.EEPSl TANKI ULI TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: R.E.N.S: <br /> A I <br /> P N ALL TANKS TO BE INSTALLED AND TESTED IM ACCOFMANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATION$ <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S <br /> DATE MENT <br /> ITEM OR EQUIPINSPECTED <br /> 1. UST PLANS SUBMITTED/ 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 AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PST: HRS/MIM: BRINE(LIOUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPRCPRIATELT PLACID WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTICNS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI130 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 HR. MINIMUM) HRS: (CCR 2635 (A)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCA 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CC2 2635 (A) (4)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCA 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. PE2FORMAMCE TEST OF LIME LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (8) (6)) <br /> 17. OVERFILL PROTECTION IMSTALLID/APPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOOM AND WATERTIGHT) (CC2 2631 (D) (5)) <br /> 19- TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN AMD 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 /> 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br /> CCM MEMTS: <br /> EH23-006 3/92 (REVISED 11\92) <br /> s <br />