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NEW UST INSTALLATION INSPECTION RE RD <br /> FACILITY MAKE: )� r �s.l,g( , ADDRESS: 27c' UVB 1at'-d- I �aL,tt:' tock*' <br /> SWEEPS# TANK# UL# TANK MODEL/MATERIAL: 1%dc•ra <br /> CAPACITY: ���d�J PRODUCT: R.E.N.S: <br /> A I <br /> P M ALL TANKS TO BE INSTALLED AID TESTED IN ACCORDANCE <br /> P 1 WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> O 1 <br /> Y A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1_ UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> D-wlo-4'S F(K 2_ UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> IO-3 -95 ✓ 3_ INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> qi SOAP: PSI: HRS/MIM:,-3C BRIME(LIOUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: MRS/MIM: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> ✓ PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIM) (CCR 2635 (B) (4)) <br /> -��_�� ✓ 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIM: OTHER: (CCR 2635 (A) (4)) <br /> f�_z� pfd 8. LAKE TEST ON ALL SUMPS (24 MR. MINIMUM) MRS: (CCR 2635 (A)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> fZ_;,0 �S 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> ��ZU e1S ✓ 12. PERFORMANCE TEST FOR 'ALL` MONITORING PROBES CCCR 2632 (C) (2)) <br /> 2-SCJ �(S 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> IZ"Zo-� �/ 3,1114. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br /> i a siS ; ` ( 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> Z_Zo-clr V1 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> vz_zU-L', Y 1 <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> 1 z_zc_-q ' 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> /( 19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20_ MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCA 2632 (E) (1) (2)) <br /> Y 21. 'C' FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> 22_ MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> f� 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 CE) (F)) <br /> COMMENTS: <br /> EH23-006 3/92 <br />