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FACILITY NAME: <br />NEW UST' <br />TAXXf <br />rALLATION INSPECTION <br />0 6 <br />t" 31.$6cj TANK MODEI./MATERM: Z>/< <br />R.E.H.S:.Ao,Gr,� r,""_vE <br />INITIAL INSPECTIONS <br />A <br />I <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VAC": SOAP: PSI: HRS/HIN: BRINECLIQUID ANNULAR): OTHER: <br />P <br />H <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />SECONDARY PIPING CONTAINMENT TEST PSI: NRS/ a OTHER: <br />P <br />I <br />WITH MANUFACTURER {MITTEN SPECIFICATIONS <br />8. <br />R <br />T <br />(CCR 2635 CA)) <br />0 <br />I <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(C 2635) <br />V <br />A <br />10. <br />OVERSPILL PERFORMANCE TEST <br />E <br />L <br />r/ <br />11. <br />D <br />S <br />22. MONITORING METHOD FOR ALL TANKS ANO PIPING APPROVED (CCR 2641-2644) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />��lr1 <br />i/ <br />1. UST PLANS SUBMITTED/ FEES PAID CH+S CODE 25287, COR 2635 CD) (a) <br />2. UST'INSTALLATION PLANS APPROVED CCCR 2635 CE) (5)) <br />INITIAL INSPECTIONS <br />PIPING INSPECTIONS <br />® <br />6. <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VAC": SOAP: PSI: HRS/HIN: BRINECLIQUID ANNULAR): OTHER: <br />` 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTE3N (PANEL) CCCR 2632 (A) (2)) <br />4. PRIMARY TANK TEST: PSI: S 3/f HRS <br />SECONDARY PIPING CONTAINMENT TEST PSI: NRS/ a OTHER: <br />(CCR 2635 (A) (4)) <br />5. TANK APPR OPR IATELT PLACED WITH APPROVED SAWILL, (CCR 2635 (A) C3) C4) (6)/ API/P£I) <br />PIPING INSPECTIONS <br />® <br />6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) -pr <br />2635 (B) (4)) <br />` 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTE3N (PANEL) CCCR 2632 (A) (2)) <br />SECONDARY PIPING CONTAINMENT TEST PSI: NRS/ a OTHER: <br />(CCR 2635 (A) (4)) <br />C 15. PERFORMANCE TEST OF JUTCRATIC PUMP SYSTEM SHUT-OFF CC3R 2635 CB} (5)) <br />8. <br />LAKE TEST ON ALL SLIPS (24 HR. MINIMUM) HRS: <br />t 16. BALL FLOAT VALVES tNSTALLED CCCR 2635 (B) (6)) <br />(CCR 2635 CA)) <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(C 2635) <br />/p (/ <br />10. <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 (A) (4)) <br />U 20. MONITORING PWA, REWOM PLAN AND LOG BOOK ON SITE (CCR 2632 CE) Cl) (2)) <br />r/ <br />11. <br />ALL PIPING AND FITTDIGS CORROSION PROTECTED <br />(CCR 2635 (B)) <br />FINAL INSPECTION <br />EH23-006 3/92 (REVISED 11\92) <br />93 <br />1Z. PERFORMANCE TESL' FOR •ALL■ MONITORING PROBES (CCR 2632 (C) (2)) <br />® r <br />` 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTE3N (PANEL) CCCR 2632 (A) (2)) <br />14. PERFORMANCE TEST OF LINE LEAK DETECTION CCCR 2632 (D) 2635 (B) (5)) <br />/O !YitA, <br />C 15. PERFORMANCE TEST OF JUTCRATIC PUMP SYSTEM SHUT-OFF CC3R 2635 CB} (5)) <br />t 16. BALL FLOAT VALVES tNSTALLED CCCR 2635 (B) (6)) <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br />18. TANK ACCESS PORTS BROUGHT TO GRADE CLOCKED AND WATERTIGHT) (CCR 2631 CD) (5)) <br />19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />U 20. MONITORING PWA, REWOM PLAN AND LOG BOOK ON SITE (CCR 2632 CE) Cl) (2)) <br />21. 'C` FORM COMPLETED AND SUBMITTED (CUR 2635 CE)) <br />i <br />!! <br />22. MONITORING METHOD FOR ALL TANKS ANO PIPING APPROVED (CCR 2641-2644) <br />23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED CH+S CODE 25284 (E) CF)) <br />EH23-006 3/92 (REVISED 11\92) <br />93 <br />