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• NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: P I�(G ADDRE'-'S' �. • 1 <br /> SWEEPS# TANK# UL#C)(� Jq?,TANK MODEL/MATERIAL:MDpWM W6 t714�i <br /> CAPACITY: 00D PRODUCT: &,kSoLlN R.E.H.S: <br /> A I <br /> P M ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S <br /> GATE ITEM OR EQUIPMENT INSPECTED <br /> 1. UST PLANS S"ITTED/ FEES PAID (H+S CODE 25287, CCR.2535 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUlI: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: gDxl�ll• <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 MIN) (CCR 2635 (8) (0) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI:1r HRS/MIN: t1® OTHER: (CCR 2635 (A) (4)). <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) NRS: • (CCR 2635 (A)) <br />/C 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CO 2635 (A) (4)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2.635 (8)) <br /> FINAL INSPECTION <br /> ® r 12. PERFORMANCE TEST FOR •ALL• MONITORING PROBES (CCR 2632 (C) (2)) <br /> 13. PERFORMANCE TEST OF CONTINLKIUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br /> AIIA15. FORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED100" le (CCR 2635 (8) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> 19. TANK INTEGRITY TEST (PASSING HARD COPY) <br /> (CCR 2635 (A) (5)) <br /> x � 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) Cl) (2)) <br />,i 21. MC* FORM COMPLETED AND SIJBMITTED (CCR 2635 (E)) <br /> 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2A41-26") <br /> 23. ALL.COMDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br /> COMMENTS: <br /> EH23-006 3/92 (REVISED 11\92) <br /> 8 <br />