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NEW USTd&TALLATiON INSPECnON <br />FACILITY HANE: ��. % E,� J"V vW' ` ADORESS: �� �L' �, iU(� % k' (/ <br />Sites: �l '3 . c�c�TAIQ;It' �� C1 IC j tA. TAYK MmEL/NNATERIAL <br />CAPACITY: <br />INITIAL INSPELTIONS <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br />VAGUER: SOAP: ✓ PSI: MRSIHIM: <br />4. PRIMARY TAMC TEST:wcV� PSI: <br />r <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACXFILL <br />r ar aaw sm. r.L#abMal <br />HOLIDAY: <br />BRINE(LIOUID ANNULAR): OTHER: <br />HRS/MIN: <br />(CXR 2.635 (A) C3) (4) (6)/ API/PEI) <br />A <br />I <br />10),112- PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 CC) (2)) <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI /30 MIk) CCC2 2635 (8) (4)) <br />P <br />MALL <br />TES AMTO BE INSTALLED AND TESTID IN ACCORDANCE <br />P <br />I <br />WITH PAWFAC 1MER WRITTEN SPECIFICATIONS <br />t/ <br />R <br />T <br />L <br />I <br />(� <br />✓ <br />O <br />I <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (COIR ?635 (8)) <br />V <br />A <br />1�418- TANK ACCESS PORTS BROUGHT TO GRADE CLOCID:D AND WATEaRTIGHT) (CCR 2631 (D) (5)) <br />E <br />L <br />19. TANK INTEG2M TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />D <br />S <br />1. 'C' FORM COMPLETED AMD SUBMITTED CCCR 2635 CE)) <br />I plo <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CEDE 25284 (E) CF)) <br />�l <br />✓ <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />2. UST INSTALLATION PLANS APPROVED CCCR 2535 CE) CS)) <br />INITIAL INSPELTIONS <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br />VAGUER: SOAP: ✓ PSI: MRSIHIM: <br />4. PRIMARY TAMC TEST:wcV� PSI: <br />r <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACXFILL <br />r ar aaw sm. r.L#abMal <br />HOLIDAY: <br />BRINE(LIOUID ANNULAR): OTHER: <br />HRS/MIN: <br />(CXR 2.635 (A) C3) (4) (6)/ API/PEI) <br />U FINAL INSPECTION <br />G� I ✓ <br />�) <br />10),112- PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 CC) (2)) <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI /30 MIk) CCC2 2635 (8) (4)) <br />�I <br />13- PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) CCCR 2632 (A) C2)) <br />7. SECONDARY PIPING CONTAINMENT TEST PSI 6 NRS/MIN:r THEIR: (COIR 2635 (A) CO) <br />1 <br />t/ <br />8. LAKE TEST ON ALL SLVPS (24 HR. MINIMUM) HRS: 4 (CCR 2M (A)) <br />ti� <br />L <br />I <br />(� <br />✓ <br />Z 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED CCCR 2635) <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />16. BALL FLOAT VALVES INSTALLED CCC= 2635 CB) C6)) <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (COIR ?635 (8)) <br />U FINAL INSPECTION <br />G� I ✓ <br />V <br />CCMENTS: <br />H23-006 3/92 (REVISED 11\92) <br />8 <br />10),112- PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 CC) (2)) <br />13- PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) CCCR 2632 (A) C2)) <br />14. PERFORMANCE TEST OF LINE LEAK DETEL7I0M (CCR 2632 (D) 2635 (8) (5)) <br />15. PERFORMANCE TEST OF MITONATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br />j <br />16. BALL FLOAT VALVES INSTALLED CCC= 2635 CB) C6)) <br />17. OVERFILL PROTECTIOR INSTALLED/APPROVED (CCR 2635 CE) (2)) <br />�? Uv <br />1�418- TANK ACCESS PORTS BROUGHT TO GRADE CLOCID:D AND WATEaRTIGHT) (CCR 2631 (D) (5)) <br />19. TANK INTEG2M TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />D. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CrR 2632 (E) Cl) C2)) <br />1. 'C' FORM COMPLETED AMD SUBMITTED CCCR 2635 CE)) <br />I plo <br />MONITORING METHM FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CEDE 25284 (E) CF)) <br />V <br />CCMENTS: <br />H23-006 3/92 (REVISED 11\92) <br />8 <br />