Laserfiche WebLink
.. w NEW US]PSTALLATION INSPECTION RE D <br />FACILITY NAME: u tia L.o. L. ,S • � 13 $ 8 4. AooREss: Z*l W. :S+I: sej <br />SLEEPSS TANKS tA.t TANK MODEL/MATERIAL: <br />CAPACITY: PRODUCT: R.E.N.S: <br />INITIAL INSAECTIOUS <br />A <br />I <br />VACLX94: SOAP: PSI: NRS/MIN: BRINECLIQUID ANNULAR): OTHER: <br />P <br />NALL <br />TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />14. PERFORMANCE TEST OF LIME LEAK DETECTION CCCZ 2632 (D) 2635 (3) CS)) <br />P <br />I <br />WITH NANUFACIURER WRITTEN SPECIFICATIONS <br />R <br />T <br />9.UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CXR 2635) <br />0 <br />I <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />18. TANK ACCESS PORTS BROUGHT TO GRADE CLOCX0 AND WATERTIGHT) CCCS 2631 (D) CS)) <br />V <br />A <br />11. ALL PIPING AND FITTINGS CORROSION (CSR 2635 (B)) <br />E <br />L <br />D <br />S <br />22. MONITORING METHOD FOR ALL TANKS AMD PIPING APPROVED CCCR 2641-26") <br />I OR EOOIPMENT I <br />DATE <br />1. UST PLANS SUBMITTED/ FEES PAID CH -S CODE 25287, C 2 2635 (D) (8) <br />Z. UST INSTALLATION PIANS APPROVED CCCR 2635 CE) C5)) <br />INITIAL INSAECTIOUS <br />PIPING INSPECTYONS <br />3. INSPELTION AND TEST OF SEMNDARY CONTAINMENT: HOLIDAY: <br />VACLX94: SOAP: PSI: NRS/MIN: BRINECLIQUID ANNULAR): OTHER: <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (Z)) <br />4. PRIMARY TANK TEST: PSI: HRS/MIH: <br />14. PERFORMANCE TEST OF LIME LEAK DETECTION CCCZ 2632 (D) 2635 (3) CS)) <br />5. TANK APPROPRIATELY PLACED WITH APPROVED SACXFILL (CCR 26.35 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTYONS <br />FINAL INSPECT <br />12. PERFORXMCE TEST FOR •ALL' MONITORING PROBES CCL2 2632 (C) (2)) <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) CCC2 2635 (3) (4)) <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (Z)) <br />7. SECCUDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: CCCR 2635 (A) CO) <br />14. PERFORMANCE TEST OF LIME LEAK DETECTION CCCZ 2632 (D) 2635 (3) CS)) <br />8. LAKE TEST OIC ALL SUMPS (24 HR_ MINIMUM) NRS: CCCt 2635 CA)) <br />16. BALL FLOAT VALVES INSTALLED CCCR 2635 (8) (6)) <br />9.UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CXR 2635) <br />V. OVERFILL PROTECTION INSTAILFD/APPROVED CCCR 2635 CE) (Z)) <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />18. TANK ACCESS PORTS BROUGHT TO GRADE CLOCX0 AND WATERTIGHT) CCCS 2631 (D) CS)) <br />11. ALL PIPING AND FITTINGS CORROSION (CSR 2635 (B)) <br />FINAL INSPECT <br />COMMENTS: <br />EH23406 3/92 (REVISED 11\92) <br />8 <br />12. PERFORXMCE TEST FOR •ALL' MONITORING PROBES CCL2 2632 (C) (2)) <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (Z)) <br />14. PERFORMANCE TEST OF LIME LEAK DETECTION CCCZ 2632 (D) 2635 (3) CS)) <br />15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF Ct33R 2635 (3) CS)) <br />16. BALL FLOAT VALVES INSTALLED CCCR 2635 (8) (6)) <br />V. OVERFILL PROTECTION INSTAILFD/APPROVED CCCR 2635 CE) (Z)) <br />18. TANK ACCESS PORTS BROUGHT TO GRADE CLOCX0 AND WATERTIGHT) CCCS 2631 (D) CS)) <br />19. TANK IMTEGRITT TEST (PASSING HARD COPY) CCCR 2635 CA) CS)) <br />24. MONITORING PLAN, RESPONSE PLAN AND LAG BOOK ON SITE CCCR 263Z (E) Cl) CZ)) <br />21. a" FORM a) PLETED AND SUBMITTED CC CZ 2635 CE) ) <br />22. MONITORING METHOD FOR ALL TANKS AMD PIPING APPROVED CCCR 2641-26") <br />23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CmE 25284 (E) CF)) <br />COMMENTS: <br />EH23406 3/92 (REVISED 11\92) <br />8 <br />