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OU UST INSTALLATION INSPECTION RECORD <br />INITIAL INSPECTIONS <br />I13. INSPECTION AND TEST' OF SECONDARY AIN14ENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: 3RINE(LIGUID ANNULAR): OTHER: <br />4. PRIMARY TANK TEST: PSI: HRS/NIN: <br />5. TANK APPROPRIATELY PLAC20 WITH APPW40 3ACXFILL CAPI/PEI) <br />PIPING I _ .IONS <br />A <br />I <br />I( <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: NRS/MIN: OTHER: (CwR 2636 (e)) <br />? <br />?1 <br />ALL TANKS TO 3E INSTALLED AND TESTED IN AC=WANCE <br />I15. <br />P <br />[ <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />R <br />T <br />(11. ALL PIPING AND FITTINGS CORROSION PROTECTED (Cwt 2636 (b)) <br />0 <br />I <br />V <br />A <br />II <br />E <br />L <br />IIZO. <br />0 <br />S <br />I21. <br />MONITORING PUN, RESPONSE PIAN AND LOG 300K ON SITE (Cwt 2632 (d)) <br />ITEM OR EQUIPMENT INSPECTED <br />OATS <br />II23. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (Cwt Z630-2636) <br />24. ALL CNDITIW:S MET; FACILITY PERMIT ISSUED tH+S =E 25Z84) <br />I11. <br />UST PIANS SUBMITTED/ FES PAID CH*S CODE ZSZ87) <br />2. UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTIONS <br />I13. INSPECTION AND TEST' OF SECONDARY AIN14ENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: 3RINE(LIGUID ANNULAR): OTHER: <br />4. PRIMARY TANK TEST: PSI: HRS/NIN: <br />5. TANK APPROPRIATELY PLAC20 WITH APPW40 3ACXFILL CAPI/PEI) <br />PIPING I _ .IONS <br />FINAL i ECTIOH <br />6. PRIMARY PIPING TEST (MINIMUM 44 PSI/30 MIN) <Cwt 2636 (e)) <br />(13. PERFORMANCE TEST FOR "ALL" MWN170RING PROBES (Cwt 263Z (C) (2)) <br />I( <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: NRS/MIN: OTHER: (CwR 2636 (e)) <br />(14. PERFORMANCE TEST OF CONTINUOUS XONITORING SYSTEM (PANEL) <C Z63Z (C) (2)) <br />8. LAKE icST ON ALL SUMPS (24 HR. MINIMUM) NRS: CC= 2635 (a) (4)) <br />I15. <br />PERFORMANCE TEST OF LINE LEAK OETEC71ION(C.'T+ 2643 Cc) (1)) <br />9. UNUSED TANK OPENINGS SEALE) AND CORROSION PROTECTED PEI <br />I <br />I10. OVERSPILL PERFORMANCE icST CCwz 2635 (b) (1) (C)) <br />(11. ALL PIPING AND FITTINGS CORROSION PROTECTED (Cwt 2636 (b)) <br />I12. PIPING SUES Ta CO L-CcliION SUMP (Cwt 2636 (c)(1)) <br />FINAL i ECTIOH <br />COMMENTS: <br />E:123-406 9/95 7 <br />(13. PERFORMANCE TEST FOR "ALL" MWN170RING PROBES (Cwt 263Z (C) (2)) <br />(14. PERFORMANCE TEST OF CONTINUOUS XONITORING SYSTEM (PANEL) <C Z63Z (C) (2)) <br />I15. <br />PERFORMANCE TEST OF LINE LEAK OETEC71ION(C.'T+ 2643 Cc) (1)) <br />I <br />I16. PERFORMANCEE TEST OF AUTOMATIC PUMP SYSTEMSHUT-OFF tCC+t 2636 <g)) <br />17. 3ALL FLOAT VALVES INSTALLED <br />I18. OVERFILL PROTECTION INSTALLED/ (CCR 2635 (b) (Z)) <br />II <br />(19. TANK ACCESS PORTS M=GHT TO GRADE ( AND WATERTIGHT) API <br />IIZO. <br />TANK INTEGRITY TEST (PASSING IIIARD COPY) (Cut 2635 (a) (5)) <br />I21. <br />MONITORING PUN, RESPONSE PIAN AND LOG 300K ON SITE (Cwt 2632 (d)) <br />IZZ. <br />°C" FORM COMPLETED AND SUBMITTED (Cwt 2635 (d)) <br />II23. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (Cwt Z630-2636) <br />24. ALL CNDITIW:S MET; FACILITY PERMIT ISSUED tH+S =E 25Z84) <br />COMMENTS: <br />E:123-406 9/95 7 <br />