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NETT UST INSTALLATION INSPECTION .RECORD <br /> FACILITY NAME: ADDRESS: 14500C> lsauijC <br /> FACILITY iD* TANKS UL* TANK MODEL/MATERIAL: <br /> CAPACITY: rtty PRODUCT: <br /> A I <br /> P N ALL TANKS TO 3E INSTALLED AND IN AC=RDANC3 <br /> P I PITH MANUFACTURER NRITTaI SPECIFICATIONS <br /> R T <br /> O i <br /> V A <br /> L <br /> 0 S <br /> IT-r-4 OR ECUIPMENT INSPECTED <br /> GATE <br /> 1. UST PILANS SUBMITTED/ FSES PAID (H+S =OE 25257) <br /> 2' UST INSTALLATION ?CANS APPROVED <br /> INITIAL INSPECTIONS <br /> INSPECTION AND TESL OF SECONDARY CONTAINMENT: 3011DAY: <br /> VACUUM: SCAP: PSI: HRS/M 3RINE(LlCUID ANNULAR): MER: <br /> 4. PRIMARY TANK -tEV: PSI: <br /> /7/� I ✓ISI i. TANK AP5-ROPRIATEL7 PLACED WITH APPROVED 3AaFILL WUPEI) <br /> PIPING INSPECTIONS <br /> 6. ?RIMARY PIPING TEST (MINIMUM 4D ?ST/313 MIN) CC= 2636 (e)) <br /> 7. s.-=xDARY PIPING (OBTAINMENT TEST PSI: ARS/MIH: OTHER: (= 25.36 (e)) <br /> 8. LAE T—mST ON ALL SUMPS (24 HR. MINIMUM) HRS: CC= 2635 (a) 114)) <br /> Ii 9. UNUSED TANK OPENINGS SEALr-"7s AND =ROSION PROTEC'ED P£I <br /> I10. OVERSPILL PRFORMANC-- + (CCA Z635 (b) (1) (C)) <br /> vi (1.1. ALL PTPING AND =TTTINGS CORROSION PROTECTaCC.'ti 2656 (b)) <br /> v I12_ PIPTHG SLOPES TiO COLL CTION SUMP (C 2636 (c)(1)) <br /> FINAL INSPECTION <br /> I I I13. PERFCRMANCE TEST FAR "ALL" MONITORING PRCSES (CCA 2632 (c) M) <br /> I14. PERFORMANCE TEST OF CONTINUOUS MONITORING STSTE'1 (PANEL) (CCR 2632 (c) (2)) <br /> '/) I15. PERFORMANCE TEST OF LINE LEAK OETECTTON CCS 2643 Ce) (1)) <br /> V I 116. PERFORMANCE TEST OF AUTOMATIC PIRIP SYSTEM SHUT-(IFF CCC+t 2636 <9)) <br /> I I I17. 3ALL FLOAT VALVES INSTALLED <br /> Nis. WERFILL PROTEC:TON INSTALLED/APPROVED (CO2 2635 (b) CZ)) <br /> v I 19. TANK ACCS-SS ACC= PORTS 3ROUGHT TQ GRADE CLOCKED AND 14ATS TIGHT) API <br /> f I I20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2535 (a) (5)) <br /> I21. MONITORING PLAN, ft-SPONSE PLAN AND LOG 3CCK ON SITE CCu^t 2632 Cd)) <br /> I22. "C' FORM COMPLE70 AND SUBMITTED COCA 2515 (d)) <br /> X73. AUIITCRING .METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630.2636) <br /> 24. ALL '=N' DITTONS AET; FAC'LITY PERMIT ISSUED (H+S MOE 25ZS4) <br /> COMMENTS: - <br /> 2e323-706 9/95 7 <br />