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NEW UST IN, . - LLATION INSPECTION RECO <br /> FACILITY NAME: ADDRESS: <br /> 6 <br /> SUEEPS TANo Ioqq_ 4, ULD) TANK MODEL/MATERIAL: r <br /> CAPACITY: 64 woPRODUCT: R.E.H.S: �6 <br /> A I <br /> P NALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I \ <br /> V A N Q <br /> E L <br /> 0 S <br /> DATE <br /> ITEM OR EQUIPMENT INSPECTED <br /> I � <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (0) (8) <br /> UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/NIN: 3 BRINE(LIQUID ANNULAR): OTHER: <br /> 0 <br /> 13[ <br /> V41 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> I5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2635 (8) (4)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI:,S� HRS/MIN�0 OTHER: CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> L® 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> t <br /> FINAL INSPECTION <br /> i 12. PERFORMANCE TEST FDR -ALL- MONITORING PRMS (CCR 2632 (C) (2)) <br /> t' 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> 3 <br /> 13 14. PERFORMANCE TEST OF LINE LEAK DETECTION � (CCR 2632 (0) 2635 (8) (5)) <br /> ®315. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (8) (5)) <br /> � - -� ib. BALL FLOAT VALVES INSTALLED (CCR 2635 (8) (6)) <br /> L 17. OVERFILL PROTECTION.INSTALLED/APPROVED � � Ifc „��,�� (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> 9. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> ® 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE f4SC C) (CCR 2632 (E) (1) (2)) <br /> 21. •C FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> . MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (IHS CODE 25264 (E) (F)) <br /> COMMENTS: A] S r <br /> ® — nr ins <br /> &A,r ” ago <br /> �t <br /> EH23-006 3/9Zo5f .yc <br />