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NEW UST INSTALLATION INSPECTION RECOP.,j <br />i <br />INITIAL INSPECTIONS <br />�l/[ ✓ <br />A <br />I <br />HOLIDAY: <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />P <br />I <br />WITH MANUFACTURER {MITTEN SPECIFICATIONS <br />R <br />T <br />TANK APPROPRIATELY PLACED WITH APPROVED BACXFILL <br />(CCR 2635 (A) (3) C4) (6)/ API/PEI) <br />0 <br />I <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />V <br />A <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (8)) <br />E <br />L <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br />D <br />S <br />19. TANK INTEGRITY TEST CPASSING HARD COPY) (CCR 2635 (A) (5)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />21. 'C' FORM COMPLETED AND SUBMITTED CCCR 2635 (E)) <br />1. UST PLANS SUBMITTED/ FEES PAID CH+S CODE 25287, CCR 2635 (D) (8) <br />2. UST IMSTALLATIOM PLANS APPROVED CCCR 2635 (E) CS)) <br />INITIAL INSPECTIONS <br />�l/[ ✓ <br />, f3. <br />INSPECTION AND TEST OF SECONDARY CONTAIIONEItT: <br />HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: <br />BRINE(LIQUID ): OTHER: <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />C 4. <br />PRIMARY TANK TEST: PSI: 3 3flf <br />HRS ',p <br />5. <br />TANK APPROPRIATELY PLACED WITH APPROVED BACXFILL <br />(CCR 2635 (A) (3) C4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCA 2635 (8) (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) NRS: CCCR 2635 (A)) <br />9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (8)) <br />FINAL INSPECTION <br />JEH23-006 3/92 (REVISED 11\92) <br />E3 <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. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (8) (5)) <br />15. PERF CE TEST OF AUTOMATIC PIMP SYSTEM SHUT-OFF CCCR 2635 (8) (5)) <br />16. BALL FLOAT VALVES INSTALLED (CCR 2635 (8) (6)) <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) C2)) <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br />19. TANK INTEGRITY TEST CPASSING HARD COPY) (CCR 2635 (A) (5)) <br />20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br />21. 'C' FORM COMPLETED AND SUBMITTED CCCR 2635 (E)) <br />22. MONITORING METHM FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br />23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) CF)) <br />JEH23-006 3/92 (REVISED 11\92) <br />E3 <br />