Laserfiche WebLink
NEW UST INSTALLATION RECORD <br /> LL-Q i- o 06 oe <br /> FACILITY NAME <br /> FACILITY ADDRESS (r'—� �-D <br /> SWEEPS # l TANK# U L. # PRODUCT 6 <br /> DATE I APPROVED DISAPPROVED REHS ITEM OR EQUIPMENT INSPECTED <br /> 1. UST INSTALLATION PLANS SUBMITTED &FEES PAID <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTION <br /> 1. HOLIDAY TEST(PLASTEEL) <br /> 2. AIR TESTED @ 5 PSI (FRP) �e <br /> 3. VISUAL INSPECTION OF 20 CONTAINMENT <br /> 4. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br /> P ING STAGE INSPECTION m , <br /> 1. PRESSURE TEST [10 AND 20 (NFPA 30)] <br /> 2. BALI,FLOAT VALVES INSTALLED <br /> k,4(3. OVERFILL PROTECTION INSTALLED, DESCRIBE: <br /> 4. UNUSED TANK OPENING SEALED & CATHODICALLY PROTECTED <br /> S. VISUAL INSPECTION OF 20 CONTAINMENT ON PIPING <br /> 6. MONITORING PORTS IN PLACE &BROUGHT TO GRADE (LO LE <br /> WEATHER PROOF COVERS) <br /> 7. FELL &VENT PIPING BROUGHT TO GRADE <br /> r 8. PRODUCT LINE LEAK DETECTOR INPLACE (HARD WIRED) <br /> 9. APPROVED UST LEAK MONITORING DEVICE INSTALLED <br /> 10.ALL GALVANIZED PIPING&FITTINGS PROPERLY WRAPPED <br /> 11.PRESSURE DECAY TEST ON COMPLETE UST&PRODUCT DELIVERY <br /> SYSTEM <br /> FINAL INSPECTION <br /> Z7 1. PRECISION TEST SUCCESSFULLY COMPLETED AND HARD COPIES <br /> RECEIVED <br /> (NFPA 329) <br /> 2. SPILL PROTECTION AT FILL PIPE <br /> 3. PERFORMANCE TEST OF OVERFILL PROTECTION SYSTEM <br /> 4. P RFOORMANCE TEST OF PRODUCT LINE LEAK DETECTOR (HARD <br /> . <br /> S. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM(S) ON <br /> TANK(S) <br /> t A 6. PERMIT TO OPERATE APPLICATION COMPLETE <br /> Ll 7. ACCEPTABLE.RECORD KEEPING SYSTEM <br />