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`W UST INSTALLATION INSPECTION RECORD Ahk <br /> {;AC:LITY NAME: W ADDRESS: Z612- -470 so4at_16, <br /> fACIIITY�iD# TANK" Ul# TANK MEL/MATERIAL 9( <br /> N4[. <br /> CAPACITY: PRODUCT: P R.E.H.S: �! <br /> A I <br /> P y 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 /> I E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> r I INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM S SOAP: PSI: HRS BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED 3ACKFILL CAPI/PEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2636 (e)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM)- HRS: (CCR 2635 (a) (4)) <br /> I 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> ,K4�1.0. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> 1 15 � I 1. ALL PIPING AND FITTINGS CORROSION PROTECTED CCCR 2636 (b)) <br /> 1 '5,A I PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> !! FINAL INSPECTION <br /> 13. PERFORMANCE TEST FOR "RLL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> Z �5II14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK OETECTION (CCR 2643 (c) (1)) <br /> Zy�f I 16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (9)) <br /> A- I I 17. BALL FLOAT VALVES INSTALLED <br /> 2_1 9-�`I 18. OVERFILL PROTECTION INSTALLED/APPROVED CCCR 2635 (b) (2)) <br /> TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PILIN AND LOG 300K ON SITE (CCR 2632 (d)) <br /> i 122. °C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> i <br /> i <br /> ` 123. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> 124. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H-S COOE 25284) <br /> COMMENTS: <br /> EM23-006 9/95 <br /> 10 <br />