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i <br />A.:A UJ° t itb+i 41+r.4l9i Yost ait.'9P'Y'.Tr9 4WO A4 <br />AC:LITY NAME:'?ADDRESS: AKC <br />a <br />ACILITY ID# ` TANKS ULa` T ELJMATERIAL: <br />APACITY: 2 <br />�PRODUCT: 1�A R.E.H.S: <br />®v <br />3. INSPECTION AND TEST OF SECONDIMY CONTAINMENT: HOLIDAY: <br />A <br />I <br />4- PRIMARY TANK TEST: PSI: HRS/MIN: <br />PWI <br />P <br />H <br />ALL TANKS TO SE INSTALLED AND TESTED TN ACCORDANCE <br />8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCA 2635 (a) (4)) <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />i <br />R <br />T <br />C ) <br />0 <br />I <br />�l' >C068. <br />V <br />A <br />(CCR 2635 (b) (2)) <br />VIOM19. <br />E <br />L <br />API <br />. " I <br />0 <br />S <br />(COIR 2635 (a) (5)) <br />21. <br />MONITORING PIAN, ,RESPONSE PLAN AND LCR', 3OOK ON SITE <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />22. <br />"C" FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (d)) <br />::I�tl- <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED tW, <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br />UST INSTALLATION PLANS APPROVED <br />3. INSPECTION AND TEST OF SECONDIMY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: SRIHE(LIOIIO ANNULAR): OTHER: <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 10 51 (CCR 2636 (e)) <br />4- PRIMARY TANK TEST: PSI: HRS/MIN: <br />PWI <br />5. TANK APPROPRIATELY PLACED WITH APPROVED 8ACXFILL (API/PEI) <br />PIPING INvECTIONS, r <br />g "?� <br />fbg6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) 10 51 (CCR 2636 (e)) <br />(CCR 263Z (c) (2)) <br />PWI <br />7. SECONDARY PIPING CONTAINMENT TEST PSI:ACI OTHER: (CCR 2636 (e)) <br />to — <br />(CCR 2632 (c) (2)) <br />8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCA 2635 (a) (4)) <br />15. <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br />(�®lin. <br />AI <br />6- <br />OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br />1. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br />C ) <br />PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br />FINAL INSPECTION <br />COMMENTS: <br />EH23-306 9/95 T <br />13. <br />PERFORMANCE TEST FOR "Alt" MONITORING PROBES <br />(CCR 263Z (c) (2)) <br />r <br />14. <br />CE TEST OF CTI MONITORING SYSTEM (PANEL) <br />PER ON <br />(CCR 2632 (c) (2)) <br />�® <br />15. <br />PERFORMANCE TEST OF LINE LEAK DETECTION <br />( CZ 2643 (c) (1)) <br />6- <br />PERFORMANCE TEST OF AUTOMATIC PSYSTEM SHUT-OFF LL) L <br />UMP <br />C ) <br />BALL FLOAT VALVES INSTALLED <br />�l' >C068. <br />OVERFILL PROTECTIR]N INSTALLED! OVED <br />(CCR 2635 (b) (2)) <br />VIOM19. <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AM WATERTIGHT) <br />API <br />. " I <br />20. <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(COIR 2635 (a) (5)) <br />21. <br />MONITORING PIAN, ,RESPONSE PLAN AND LCR', 3OOK ON SITE <br />(CCR 2632 Cd)) <br />i <br />22. <br />"C" FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (d)) <br />�24. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED tW, <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(CCR 2630-2636) <br />S CODE 25284) <br />COMMENTS: <br />EH23-306 9/95 T <br />