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NEW UST INSTALLATION INSPECTION RECORD <br />FACILITY NAME: Top . ADDRESS: 99 85 <br />FACILITY ID# TANK# UL#"" TANK'MODEL/MATERIAL: �Z <br />CAPACITY: '� , d O ® PRODUCT: R.E.H.S: <br />INITIAL INSPECTIONS <br />J� a 2� <br />J <br />A <br />I <br />VACUUM: SOAP: PSI: MRS/MIN: I (L'QUID ANN AR): 0TH tR: <br />(CCR <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />15. PERFORMANCE TEST OF LINE LEAK DETECTION T - e ,_ p (CCR 2643 (c) (1)) <br />P <br />R <br />0 <br />I <br />T <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS -- -- - <br />2636 <br />V <br />E <br />Ap <br />L <br />8. <br />0 <br />S <br />2635 <br />(a) (4)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />PEI <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />ra® <br />"C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />10. <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br />(CCR <br />2635 <br />(b) (1) (C)) <br />2. UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTIONS <br />J� a 2� <br />J <br />✓ <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: +' HOLIDAY: g <br />VACUUM: SOAP: PSI: MRS/MIN: I (L'QUID ANN AR): 0TH tR: <br />(CCR <br />2636 <br />PRIMARY TANK TEST:PSI: HRS/MIN: o <br />w <br />13 " <br />15. PERFORMANCE TEST OF LINE LEAK DETECTION T - e ,_ p (CCR 2643 (c) (1)) <br />TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />1 ai.. jq <br />PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) ; <br />(CCR <br />2636 <br />(e)) <br />13 " <br />15. PERFORMANCE TEST OF LINE LEAK DETECTION T - e ,_ p (CCR 2643 (c) (1)) <br />J afd % <br />SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: <br />OTHER: (CCR <br />2636 <br />(e)) <br />17 . BALL FLOAT VALVES INSTALLED <br />8. <br />LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: <br />(CCR <br />2635 <br />(a) (4)) <br />9. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />PEI <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />ra® <br />"C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />10. <br />OVERSPILL PERFORMANCE TEST <br />(CCR <br />2635 <br />(b) (1) (C)) <br />!124. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCA <br />2636 <br />(b)) <br />12. <br />PIPING SLOPES TO COLLECTION SUMP <br />(CCR <br />2636 <br />(c)(1)) <br />FINAL INSPECTION <br />1 ai.. jq <br />PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br />4. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br />15. PERFORMANCE TEST OF LINE LEAK DETECTION T - e ,_ p (CCR 2643 (c) (1)) <br />J afd % <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br />17 . BALL FLOAT VALVES INSTALLED <br />OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br />020. <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br />TANK INTEGRITY TEST (PASSING HARD COPY) S f (CCR 2635 (a) (5)) <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />ra® <br />"C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />%a_MONITORING <br />6 <br />METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br />!124. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br />COMMENTS: <br />EH23-006 7/97 <br />10 <br />I <br />