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NEW UST INSTALLATION INSPECTION REr7RD <br /> FACILITY NAME: 3bD L 1\71, ADDRESS. rr&\ lloLo <br /> SWEEPS# 1%46- TANK# UL# 3 tib q TAMK MODEL/MATERIAL:-f'/Ut)e l <br /> CAPACITY: V51 p 0 PRODUCT: L�ot501t .e_ R.E.H.S: #16 w <br /> A I <br /> P M ALL TANKS TO BE INSTALLED AID TESTED IM ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> RT <br /> E L (/ <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> yy UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS �-.5 Ofl �►'1'}2Yg'�� 5 - v'� U(� m j� <br /> 1 vi <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: ' tj SOAP: PSI: HRS/MIM: BRIME(LIQUID ANNULAR): �Jt OTHER: �T <br /> ! Z _ PRIMARY TANK TEST `rob;p�r_ a' PSI: - HRS/NIN: fes' <br /> v TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> r l..� PRIMARY PIPING TEST (MINIMUM 40 PSI/3O MIM) (CCR 2635 (B) (4)) <br /> Z s SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br /> �. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) �` L A`/"MRS: (CCR 2635 (A)) <br /> UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED At_t- ( SP (CCR 2635) <br /> OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> 4 Q t ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> PERFORMANCE TEST FOR 'ALL• MONITORING PROBES (CCR 2632 (C) (2)) <br /> - <br /> IT '� PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> // <br /> 2 _y PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br /> PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> 24�' 6. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> ( OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> f�7✓/ TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> TANK INTEGRITY TEST (PASSING 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 (CCR 2635 (E)) <br /> _ MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> ` 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br /> COMMENTS: <br /> EH23-006 3/92 <br /> l � � <br />