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NEW UST IN LLATION INSPECTION RECO <br /> FACILITY NAME: ADDRESS: <br /> SWEEPS* TANKS ULS&S o TANK MODEL/MATERIAL: <br /> CAPACITY: R.E.H.S: �; a <br /> A I <br /> P N ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> ®�31 1 1 3- INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TE PSI: HRS/MIN: <br /> 5. 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/3O MIN) 1 `' (CCR 2635 (8) (4)) <br /> ®l_ 7. SECONDARY PIPING CONTAINMENT TEST PSI: '® HRS/111N: OTHER: (CCR 2635 (A) (4)) <br /> 8. LAKE TEST Oil ALL SUMPS (24 HR. MINIMUM) . (CCR 2635 (A)) <br /> 1?m <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERF CE TEST (CCR 2635 (A) (4)) <br /> 11. ALL PIPING AMD FITTINGS CORROSION PROTECTED (CCR 2635 (8)) <br /> FINAL INSPECTION <br /> ® 12. PERFORMANCE TEST FOR °ALL• MONITORING PROBES (CCR 2632 (C) (2)) <br /> �a® - 13- PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> 14. PERFORMANCE TEST OF LINE LEAK DETECTION 1 (CCR 2632 (D) 2635 (8) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PIMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> 17. OVERFILL PROTECTION INSTALLEDAPPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> Z®��21 ✓ 19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOCK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21. •C• FORM COLLETED 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 (H+S CODE 25284 (E) (F)) <br /> COMMENTS: <br /> EH23-006 3/92 <br />