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NEW UST INSTALLATION INSPECTION RECORD <br />FACILITY NAME. ( P ✓�� /4vI CRESS: <br />FACILITY ID#7�% 3 TANKi1 ULA TERIAL: ♦ '' <br />CAPACITY: ' donPRODUCT: <br />tNITIAL INSPECTIONS <br />PIPING INSPECTORS <br />A <br />I <br />(CCI z&A (e)) <br />P <br />N <br />ALL TANKS TO 3E INSTALLED AND 1ESTED IN <br />P <br />I <br />6VITH MANUFACTURER WRITTEN SPECIFICAlTIONS <br />Il I <br />R <br />T <br />PEI <br />a <br />I <br />am (b) (1) (C)) <br />all, y <br />V <br />A <br />2636 (b)) <br />E <br />L <br />< 2536 (c)(1)) <br />0 <br />S <br />IZO. TANK INTEGRITY FEST (PASSING BARD COPY) (CCR 2635 (a) CS)) <br />ITEM OR SWIPMENT INSPECTED <br />OATS <br />M. "C" FORM CCNPUT0 AMC SUBMITTED (CCR Z05 (d)) <br />I ( <br />I1. <br />UST PUNS SUBMITTED/ FEES PAID (H+S =E 15287) <br />124. ALL C00ITIONS MET; FACILITY P�1t'MIT ISSUED (H+S =E 25284) <br />2. UST INSTALLATION PLANS APPROVED <br />tNITIAL INSPECTIONS <br />PIPING INSPECTORS <br />FINAL INSPECTION <br />6. <br />PRIMARY PIPING TEST cmtmtmm 40 PS$/30 MIN) -rY) 76, n, <br />(CCI z&A (e)) <br />IN: aTH: <br />SECONDARY PIPING CONTAINMENT TEST PSI: ER <br />(CCR 2636 (a)) <br />8. <br />LAKE TEST ON ALL (24 U. MINIMUM) NRS: <br />c= 2635 (a) (4)) <br />Il I <br />y I 19. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />PEI <br />I I10. <br />OVE'NS?ILL PERFORMANCE TEST <br />am (b) (1) (C)) <br />all, y <br />✓ IJfj11. <br />ALL PIPING Atm FITTINGS camasion PROTECTED <br />2636 (b)) <br />12. <br />PIPING SLOPES TO a LLECTION SUMP <br />< 2536 (c)(1)) <br />FINAL INSPECTION <br />CCWENTS: <br />9123•-706 9/95 T <br />V <br />I <br />I13. PERFORMANCE TEST FOR "ALL" MONITORING P (CCR 2532 (C) (2)) <br />14. PERFORMANCE TEST OF CONTINUOUS MONITORING •(PAUM) (CCR 2632 (c) (2)) <br />i <br />jI <br />15. PERFORMANCE TEST OF LINE LEAK OETECTION (C4t 2643 Cc) (1)) <br />I16. PERFORMANCE TEST OF AUTMTIC PUMP SYSTEM SHUT-OFF (CCR Z636 (S)) <br />17_ BALI. FLOAT VALVES INSTALLS) j?77747V <br />18. OVERFILL PROTECnON INSTALLED/ (CCR 2635 (b) (2)) <br />19. TANK ACS PORTS 3RCUGHT TO GRADE (LACXS) AND WATERTIGHT) API <br />I <br />IZO. TANK INTEGRITY FEST (PASSING BARD COPY) (CCR 2635 (a) CS)) <br />(21. MONITORING PUN, RESPONSE PLAN AND LAG BOOK ON SITE CCGt 2632 (d)) <br />M. "C" FORM CCNPUT0 AMC SUBMITTED (CCR Z05 (d)) <br />I ( <br />In MOIITORING METHOD FOR ALL TANKS AND PIPING APPROVED 2530-2636) <br />124. ALL C00ITIONS MET; FACILITY P�1t'MIT ISSUED (H+S =E 25284) <br />CCWENTS: <br />9123•-706 9/95 T <br />