Laserfiche WebLink
IVCVV UJ I INN 1 NLLN 1 IUN IN,IJtU 1 IUN Ht(,;UHL) <br /> .ITT NAME: AP <br /> ADDRESS: fJ/ <br /> ::EPS# TANK# ®7 UL# 6SI � TANK MCDEL/MATERIAL: w,�xL� �ipvi <br /> CAPACITY: Y PROOUCT: v � R.E.H.S: <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 /> O 1 <br /> V A <br /> E L <br /> D S <br /> GATE ITEM OR EQUIPMENT INSPECTED <br /> I(511 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> ��2 s� ✓ r 2- UST INSTALLATION PUNS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: N LIQUID ANNULAR): OTHER: <br /> PRIMARY TANK TEST: PSI: r � HRS/MIN. cd <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/30 MIN) (CCA 2635 (B) (4)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS 4. OTHER: (CCR 2635 (A) (4)) <br /> Ile <br /> ® 8. LAKE TEST ON ALL SUDS (24 HR. MINIMUM) HRS: -71/ (CCR 2635 (A)) <br /> N 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> / 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED <br /> (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> / f / 12. PERFORMANCE TEST FOR "ALL" MONITORING PROSES (CCR 2632 (C) (2)) <br /> I ` ® 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> �Je f 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br /> m( /� ® v/ � 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCI 2635 (B) (5)) <br /> /.f� ® 16. BALL FLOAT VALVES INSTALLED <br /> / ✓ � (CCR 2635 (B) (6)) <br /> / 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635-(E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> v.r 19. TANK INTEGRITY TEST (PASSING HARD COPY) <br /> (CCR 2635 (A) (5)) <br /> 0. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> /`/� ✓ 121. "CO FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> 22. 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: ".93 o/=j 4S <br /> EH23-006 3/92 (REVISED 11\92) <br /> 8 <br />