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NEW UST INSTALLATION INSPECTION RECORD <br />�. � - � � • `�- r C�� - ' y alp, <br />y .. s <br />s <br />FAC'UTY ID* <br />INITIAL tNSPeCTIONS <br />/f <br />A <br />I <br />PRIMARY PIPING TEST (MINIMUM 40 PSI130 MIN)� (� s`j � G �+� CL'CR 2636 Ca)) <br />1 L (�d <br />P <br />N <br />ALL TANKS TO SE INSTALL® AND TESTED IN A=RoAma <br />PRIMARY TANK TEST: PSI: HRS/MIN: <br />p <br />( <br />111TH MANUFACTURFat WRITTEN SPECIFICATIONS <br />Z t <br />R <br />T <br />19. UNUSED TANK OPENINGS SEALED AM CORROSION PROTECTED PEI <br />a <br />I <br />(10. OVERSPILL PERFORMANCE TEST 2635 (b) (1) (C)) <br />Z ,1)gyI <br />V <br />A <br />III_ ALL PIPING AND FITTINGS CORROSION PROTECTED CCL2 2.636 Cb)) <br />/l <br />E <br />L <br />I12_ PIPING SLa+ES TO COLLECTIcN %w <c 2636 (c)(1)) <br />0 <br />S <br />I20. TANK INTEGRITY TEST (PASSING RARD COPY) (CCR Z&M (a) (5)) <br />[TEM Cit EtKIIPMENT ENSPECTED <br />OATS <br />I <br />I <br />IZZ. %" FORM =WLSTED AND SUBMITTED CCGt 2635 (d)) <br />I <br />I I23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED CCC2 2630-2636) <br />` 1. UST ?CANS SUBMITTED/ FES PAID (S+S CCOE 25287) <br />(Z4. ALL =MtTIONS MET; FACILITY P}"RMIT ISSUED (H+S CODE Z5Z84) <br />2. UST INSTALLATION PLANS APPRC40 <br />INITIAL tNSPeCTIONS <br />/f <br />3. <br />INSPECTION AND TEST aF SECONCARY CCNNTAI _ HOLIDAY: <br />PRIMARY PIPING TEST (MINIMUM 40 PSI130 MIN)� (� s`j � G �+� CL'CR 2636 Ca)) <br />1 L (�d <br />VACUX: SOAP: PSI: HRS 3RINE(LIQUID ): OTHER: <br />t <br />I ® I,. 4. <br />PRIMARY TANK TEST: PSI: HRS/MIN: <br />(f <br />I ✓ I - <br />TANK APPROPRIATELY PLACED WITH APPROVED BAWILL CAPd1P£i) <br />a <br />f <br />PRIMARY PIPING TEST (MINIMUM 40 PSI130 MIN)� (� s`j � G �+� CL'CR 2636 Ca)) <br />1 L (�d <br />I <br />,� <br />I 7. SEGt DARY PIPING CONTAINMENT TEST PSI: HRS IN: a llER: CCCR 2636 Ce)) <br />a. LAKE TEST am ALL MmPS (24 HR_ *IMIMM) HRS: C= 2635 (a) (4)) <br />Z t <br />I <br />19. UNUSED TANK OPENINGS SEALED AM CORROSION PROTECTED PEI <br />(10. OVERSPILL PERFORMANCE TEST 2635 (b) (1) (C)) <br />Z ,1)gyI <br />VI <br />III_ ALL PIPING AND FITTINGS CORROSION PROTECTED CCL2 2.636 Cb)) <br />/l <br />I <br />I ,j <br />I12_ PIPING SLa+ES TO COLLECTIcN %w <c 2636 (c)(1)) <br />FINAL INSPECTION <br />CCMMENTS: <br />5423-306 9/95 7 <br />f <br />113. MFCNW= TEST FOR "ALL" MONITORING PROBES CCCR 2632 (C) CZ)) <br />I14. PERFORMANCE TEST CIF CONTINUM MONITORING •(PANEL) C= 2632 Cc) C2)) <br />15. PERFORMANCE TEST OF LINE LEAK QETEC'TION CCCZ 2643 Cc) <1)) <br />116. PERFORMANCE TEST OF AUTOMATIC PW SYSTEM SNUT-OFF CCSB 2636 (s)) <br />117. 3ALL FLOAT VALVES INSTALLED A -I -A <br />I�1 <br />�1a. OVERFILL PRCTECnON INSTALLS)/ CC:t 2635 (b) (2)) <br />a. <br />I <br />9. TANK ACCESS PORTS 3RaJGHT TO GRACE (LOCXED AND WATERTIGHT) APT <br />I20. TANK INTEGRITY TEST (PASSING RARD COPY) (CCR Z&M (a) (5)) <br />21. MONITORING PAI, UMPONSE PAN ANO LOG 300K ON SITE (tit Z632 (d) ) <br />I <br />I <br />IZZ. %" FORM =WLSTED AND SUBMITTED CCGt 2635 (d)) <br />I <br />I I23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED CCC2 2630-2636) <br />(Z4. ALL =MtTIONS MET; FACILITY P}"RMIT ISSUED (H+S CODE Z5Z84) <br />CCMMENTS: <br />5423-306 9/95 7 <br />