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NEST UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAM :��� ADDRESS: } <br /> FACILITY 10* TANKS ULA TANK MGDEL/NATERIAL: yx;ej �f <br /> CAPACITY: <br /> l PRODUCT: <br /> A I <br /> P N ALL TANKS TO BE INSTALLED AND TESTED ru Ac=Rumcz <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM CR EQUIPMENT INSPECTED <br /> OATS <br /> 1 ( 1 1. UST PLANS SU&NtTTED/ FE=_S PAID (H+S =F. 25287) <br /> UST INSTALLATION PLANS APPROM <br /> INITIAL INSPECTIONS <br /> 2 33. INSPECTION AND TEST OF SECONDARY CDNTAINMENT: tj!g3 HOLIDAY: <br /> VACUUM: SGAP: PSI: d^ MRS/MIN: ® BRINE(LIQUID ANNULAR): MER: <br /> 13 1-4. PRIMARY TANK TEST: PSI: SRS/NIN: �� <br /> 1 i 5. TANK APPROPRIATELY PLACED WITH APPROVE] 3ACCFILL 1.3 [7M) t d� <br /> PIPING ECTIQNS np, � l ifol <br /> Ou <br /> 1� 6. PRIMARY PIPING TEST (MINIMUM 44 PSt/30 MIN) CCCR 2636 (a)) <br /> (� 11 7. SECONDARY PtPiNG awTAINNENT TEST PSI: S RS/MIN- U OTHER: CC= 2636 (e)) <br /> 8. LUCH TEST ON ALL SUMPS C24 RR. MINIMAL) MRS: (CCR 2635 Ca) C4)) <br /> (` ( 9. UNUSED TANK OPENINGS SEALED AND CORROS10i PROTECTED PEI <br /> 1 10. OVERSPILL PERFORMANCE TEST <c 2635 (b) (1) CC)) <br /> Vf 111. ALL PIPING AND FITTINGS CORROSIQN PRCTEC'ED CC= 2636 (b)) <br /> 112. PIPING SLOPES TO COLLECTION SUMP CCr.IR 2636 (c)(1)) <br /> FINAL INSPECTIQN <br /> PERFORMANCE TEST FOR "ALL" MONITORING PRCRES CC= 2632 Co (2)) <br /> PERFORMANCE TEST CF CONTINR]M MONITORING SYSTEM CPANEI.) CCG¢ 2632 (c) (2)) <br /> 1 115. PERFORMANCE TEST CF LINE LEAK OETECTIOH CC= 2643 (c) <1)) <br /> 0 1 -X6_ PERFORM UCC TEST OF AIMMATIC PUIV SYSTEM SHUT-OFFCC^..iR 2636 (9)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> 1�j 1s. GVERFILL PROTECTION INSTALLED/ <CLR 2633 (b) C2)) <br /> 1 1 9. TANK ACCESS PORTS BROUGHT TO GRACE (I== AND VATERTIGHT) APt <br /> 12D. TANK INTEGRITY TEST (PASSING RARD COPY) (Crit 2635 (a) (5)) <br /> I�f vi121. MONITORING POUR, RESPONSE POUR AND LOG 3= ON SITE C= 2632 (d))211Z <br /> s ( ( (22. "C" FORM =WL.4TED AND SUBMITTED CCLZ Z635 (d)) <br /> ,. 1 123. MONITORING METHCD FOR ALL TANKS AND PIPING APPROVED (Crz 2630-2636) <br /> `24. ALL CCUDITICNS MET; FACILITY PERMIT ISSUED (H+S =E 25284) <br /> t c? r <br /> CCLMMENTS:��• - <br /> SH23-306 9/45 7 <br />