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AEN UST INSTALLATION INSPECTION RECORD <br />FAC I L I TY !TAME: V v -st/voo ADDRESS: <br />FACILITY I0*50 7 j '� TANKS O-7 $3 T, " TANK MCCE (MATERIAL: est K <br />CAPACITY: ® av 0 PRODUCT: /7® 4cR.e.H.S: <br />PIPING INSPEC61TONS <br />1J <br />A <br />i <br />17. SECONDARY PIPING CONTAI TEST PSI: / US/MIN: OTHER: (CGL 2636 (e)) <br />P <br />N <br />ALL TANKS TO 3E INSTALLED AMC TESTED IN ACCORDANCE <br />21111 <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />R <br />T <br />11. ALL PIPING AND FITTINGS CMMMION PROTECM (CIM 2636 (Is)) <br />0 <br />I <br />I12. PIPING SLOPES TO COLLECTION MW CCCUt 2536 (c)(1)) <br />I19. TANK ACCESS PORTS SWJGHT TO GRADE (I== AND WATERTIGHT) API <br />V <br />A <br />120. TANK INTEGRITY FEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br />E <br />L <br />0 <br />S <br />I <br />I M. MONITORING ME'iHM FOR ALL TANKS AND PIPING APPROVED (GOR 2630-2636) <br />ITEM OR ECUIPMENT C e <br />OATS <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S MOF 25287) <br />2. UST INSTALLATION PLANS APPROVED <br />PIPING INSPEC61TONS <br />1J <br />I J ( 6• PRIMARY PIPING TEST UMIMIMM 40 PSI/M MIN) So r (tct 2636 ce)) <br />113- PERFO MANCE TEST FOR "ALL" MONITORING ? CCGR 2532 (c) (2)) <br />17. SECONDARY PIPING CONTAI TEST PSI: / US/MIN: OTHER: (CGL 2636 (e)) <br />14. PERFORMANCE TEST OF aMTIMMS MONITORING SYSTEM.CPANE.) <CCR 2632 (c) <2)) <br />s. LAKE TEST ON ALL MKPS (24 Wt. MIMMM) SRS: (Gat 2635 (a) c4)) <br />21111 <br />I 9. WAXSED TANK OPENINGS SEALED AND MRRCSICH PROTECTED PEI <br />I16. PERFORMANCE TEST OF AUTCHATIC PW SYSTE4 SHUT-OFF (CCR 2636 (g)) <br />0. OVERSPILL PERFORMANE TEST (CM 2635 (b) Ct) (C)) <br />17. &ALL FLOAT VALVES INSTALLED <br />11. ALL PIPING AND FITTINGS CMMMION PROTECM (CIM 2636 (Is)) <br />OVERFILL 011 CNSTALLPD/ CCCR 2tti'a5 Cb) C2)) <br />I12. PIPING SLOPES TO COLLECTION MW CCCUt 2536 (c)(1)) <br />FINAL EXSft=TCN <br />vI <br />r � / <br />E1123406 9/95 T <br />113- PERFO MANCE TEST FOR "ALL" MONITORING ? CCGR 2532 (c) (2)) <br />(� I <br />14. PERFORMANCE TEST OF aMTIMMS MONITORING SYSTEM.CPANE.) <CCR 2632 (c) <2)) <br />I15. PSFCRPJWCE TEST OF LINE LEAK OETECTION CC= 2543 (c) (1)) <br />I16. PERFORMANCE TEST OF AUTCHATIC PW SYSTE4 SHUT-OFF (CCR 2636 (g)) <br />17. &ALL FLOAT VALVES INSTALLED <br />OVERFILL 011 CNSTALLPD/ CCCR 2tti'a5 Cb) C2)) <br />I19. TANK ACCESS PORTS SWJGHT TO GRADE (I== AND WATERTIGHT) API <br />120. TANK INTEGRITY FEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br />(21. MONITORING PLAN, RESPONSE PLAN AND LOG 3= ON SITE (CM 2632 (d)) <br />IZZ. "C" FORM CCHPUTED AND SUBMITTED (CM 2635 (d)) <br />I <br />I M. MONITORING ME'iHM FOR ALL TANKS AND PIPING APPROVED (GOR 2630-2636) <br />I24. ALL C=tTIONS MET; FACILITY POERMIT ISSUED ( GIDE 25284) <br />r � / <br />E1123406 9/95 T <br />