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FAkCI4ITY NAME: ADDRESS: <br />FACILITY ID# TANK# UL# TAN EL/MATERIAL: <br />CAPACITY: PRODUCT: R.E.H.S: <br />INITIAL INSPECTIONS <br />A <br />I <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFIL (API/PEI) <br />R <br />T <br />(CCR <br />2636 <br />0 <br />I <br />RMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br />V <br />A <br />4 N <br />MI IMUM) HRS: <br />E <br />L <br />(a) (4)) <br />D <br />S <br />9. <br />UNUSED TANK OPENINGS EA <br />#&CORROSION PROTECTED <br />PEI <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />10. <br />OVERSPILL PERFORMANCE tT <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br />2635 <br />(b) (1) (C)) <br />2. UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTIONS <br />PIPING INSPECTIONS // <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br />40 PSI/30 N) <br />(CCR <br />2636 <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFIL (API/PEI) <br />PIPING INSPECTIONS // <br />FINAL INSPECTION <br />6. <br />PRIMARY PIPING TEST (MINIMUM <br />40 PSI/30 N) <br />(CCR <br />2636 <br />(e)) <br />7. <br />SECONDARY PIPING CONTAINMENT <br />TEST S HRS/MIN: OTHER: <br />(CCR <br />2636 <br />(e)) <br />16. PERF <br />RMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br />8. <br />LAKE TEST ON ALL SUMPS <br />4 N <br />MI IMUM) HRS: <br />(CCR <br />2635 <br />(a) (4)) <br />9. <br />UNUSED TANK OPENINGS EA <br />#&CORROSION PROTECTED <br />PEI <br />20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br />21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />10. <br />OVERSPILL PERFORMANCE tT <br />(CCR <br />2635 <br />(b) (1) (C)) <br />23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br />11. <br />ALL PIPING AND FI TINGS ORROSION PROTECTED <br />(CCR <br />2636 <br />(b)) <br />12. <br />PIPING SLOPES TO COLLECTION <br />SUMP <br />(CCR <br />2636 <br />(c)(1)) <br />FINAL INSPECTION <br />MFMIENTS: <br />:H23--006 7/97 <br />10 <br />13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 Co (2)) <br />14. PERF <br />CE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br />15. PER <br />CE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br />16. PERF <br />RMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br />17. ikLFLOAT VALVES INSTALLED <br />18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br />19. ANK 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 PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br />22. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br />23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br />24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br />MFMIENTS: <br />:H23--006 7/97 <br />10 <br />