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av UST INSTALLATION INsP£CTION R <br /> FACILITY NAME: ADDRESS: <br /> FACILITY ID# TANKS ULL3 TANK MOMEL/MATERIAL: �f <br /> CAPACITY: ! PRODUCT: 2.e'.H.S: <br /> A I <br /> P N ALL TANKS TO &E INSTALLED AUG TESTED IN ACC^OROANC <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> ITEM OR ECUIPMENT INSPECTED <br /> OATS <br /> ` ( t. UST PNS SUBMITTED/ FEES PAID <br /> U (H+S CODE ZM7) <br /> i2. UST INSTALLATION PUNS APPROVED <br /> INITIAL INSPECTIONS <br /> 1 3. INSPECTION AND TESL' OF SECONDARY CONTAINMENT: HOLIDAY: <br /> YACWM: SOAP- PSI: J HRSlMIN ` 3RINE(LIBUID ANNULAR): OTHER: <br /> PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 1 <br /> S. TANK APPROPRIATELY PLACED WITH APPROVED 3A=FILL r (Apigm <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIIRAI 44 PSI/3D MIN) S (�<3 CCGt 2636 (e)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: - HRS/MIX& OTHER: 2636 (e)) <br /> �) 8. LAKE TEST ON ALL SUMPS (24 R. MINIMUM) HRS: (fit 2635 (a) (4)) <br /> 19. UNUSED TANK OPEimm SEAL® AND =Rmtcm PROTECTED PEI <br /> t Ivi,4 10. OVERSPILL PERFORMANCE TEST tC 25335 (b) (1) (C)) <br /> ILI ( 111. ALL PIPING AND FTTTINGS CORROSION PROTECTED CCGt 2636 (b)) <br /> 112. PIPING SLOPES TO COLLEQ IONi SUMP <c 2636 (c)(1)) T <br /> FINAL INSPECTION <br /> I1 t03. PERFORMANCE TEST FOR "ALL" MONITORING PR08ES C= 2632 CW (2)) <br /> hil <br /> 1 / PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PA1N;i.)'� to CCCt zb32 (c) C2)) <br /> IV1 I fff 15. P£itFORMANCE TEST OF LINE LEAK DETECTION (Cu^t 2643 (c) (1)) <br /> J ' I4p 1116. PERFORMANCE TEST OF AUTOMATIC SYSTEM SHUT-OFF CCCR 2636 (g)) <br /> 1 j 17. &ALL FLOAT VALVES INSTALLED <br /> o1 v1I S. OVERFILL PROTECTION INSTALLED! CccR 2635 (b) (2)) <br /> t6lvv .1 19. TANK ACCESS PORTS 8RCUGff TO GRADE (LOCKED AND WATERTIGHT) API <br /> TANK INTEGRITY TEST (PASSING HARD Cir) CIt 2635 (a) (5)) <br /> 121. MONITORING PUN, WSPONSE PLAN AND LOG 300K ON SITE CC^+T 2632 (d)) <br /> I� ISA22. "C` FORM CO PtETED AND SUBMITTED CCCL 26335 (d)) <br /> ✓ I I23. MONITORING METHOD FOR ALL TANKS AMC PIPING APPROVED (CCR 2530-2636) <br /> k-' X1124. ALL CONDITIONS MET; FACILITY PERMIT ISSUED CH+S CEDE 25284) <br /> COMMENTS: <br /> EHO-306 9/95 T <br />