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NEW UST INSTALLATION INSPECTION RECORD <br />FACILITY NAME: <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br />76 ADDRESS: 16,36 <br />Al <br />7. <br />FACILITY 10#TANK# <br />(CCR 2636 (e)) <br />all <br />Ul# <br />TANK MODEL/MATERIAL: <br />_ ryes <br />(CCR 2635 (a) (4)) <br />CAPACITY:PRODUCT: <br />9. <br />R.E.H.S: <br />PEI <br />A <br />i <br />(CCR 2635 (b) (1) (C)) <br />/blfg <br />P <br />N <br />11. <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />(CCR 2636 (b)) <br />P <br />I <br />PIPING SLOPES TO COLLECTION SUMP <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />R <br />T <br />0 <br />I <br />V <br />A <br />E <br />L <br />D <br />S <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />1. <br />UST PLANS SUBMITTED/ FEES PAID <br />(H+S CODE 25287) <br />2. <br />USI INSTALLATION PLANS APPROVED <br />INITIAL INSPECTIONS <br />3. <br />INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br />HOLIDAY: <br />if 6 <br />VACUUM: SOAP: PSI: NRS/MIN: <br />8RINE(LIQUID ANNULAR): OTHER: <br />4. <br />PRIMARY TANK TEST:PSI: <br />HRS/MIN: <br />,r <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br />(API/PEI) <br />PIPING INSPECTIONS <br />[ <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br />(CCR 2636 (e)) <br />i' / <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSI: 6-HRS/MIN: OTHER: <br />(CCR 2636 (e)) <br />all <br />8. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: <br />(CCR 2635 (a) (4)) <br />e� 01 <br />C 4 <br />9. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />PEI <br />10. <br />OVERSPILL PERFORMANCE TEST <br />(CCR 2635 (b) (1) (C)) <br />/blfg <br />23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2636 (b)) <br />EI12. <br />PIPING SLOPES TO COLLECTION SUMP <br />(CCR 2636 (c)(1)) <br />FINAL INSPECTION <br />COMMENTS: <br />EH23-006 9/95 <br />10 <br />3. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br />15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br />b <br />6. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (9)) <br />14 <br />17. BALL FLOAT VALVES INSTALLED <br />e� 01 <br />C 4 <br />OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND•WATERTIGHT). API <br />TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br />21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />22. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br />24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br />COMMENTS: <br />EH23-006 9/95 <br />10 <br />