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NEW U .AGILITY NAME: ALLATION INSPECTION ADDRESS: @- Zn tT Ary ULS TANK MODEL/MATERIMODEL/MATERI : (CAPACITY: PRODUCT: R.E.H.S: I INITIAL INSPECTIONS A p I M ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE VACUUM: SOAP: PSI: HRS/MIN: BRIME(LIQUID ANNULAR): OTHER: P I WITH MANUFACTURER WRITTEN SPECIFICATIONS 4. PRIMARY TANK TEST: PSI: HRS/MIM: R T 8.111jrX TEST ON ALL SUMPS (24 HR_ MINIMUM) HRS: (CCR 2635 (A)) 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) 0 I 9.- UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) V A 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) E L 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) D S 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) ITEM OR EQUIPMENT INSPECTED DATE 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 7632 (E) Cl) (2)) 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) INITIAL INSPECTIONS PIPING INSPECTIONS 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: VACUUM: SOAP: PSI: HRS/MIN: BRIME(LIQUID ANNULAR): OTHER: 7.1L SECONDARY PIPING CONTAINMENT TEST PSI: HRS/HIN: OTHER: (CCR 2635 (A) (4)) 4. PRIMARY TANK TEST: PSI: HRS/MIM: 8.111jrX TEST ON ALL SUMPS (24 HR_ MINIMUM) HRS: (CCR 2635 (A)) 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) PIPING INSPECTIONS FINAL INSPECTION 6.16 PRIMARY PIPING TEST (HIMINUM 40 PSI/30 HIM) (CCR 2635 (B) (4)) 7.1L SECONDARY PIPING CONTAINMENT TEST PSI: HRS/HIN: OTHER: (CCR 2635 (A) (4)) 8.111jrX TEST ON ALL SUMPS (24 HR_ MINIMUM) HRS: (CCR 2635 (A)) 9.- UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) FINAL INSPECTION COMMENTS EH23-006 3/92 (REVISED 11\92) F.j 12. PERFORMANCE TEST FOR •ALL• MONITORING PROBES (CCR 2632 (C) (2)) 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCN 2635 (B) (5)) 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) 19M TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 7632 (E) Cl) (2)) 21. •C' FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) COMMENTS EH23-006 3/92 (REVISED 11\92) F.j