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NEW INSTALLATION INSPECTION )RD <br /> FACILITY NAME: ADDRESS: ao"d :210 <br /> SWEEPS# TANKS UL# ANK MMEL/MATERIAL: <br /> CAPACITY: PRODUCT:val a. R.E.H.S: CA x <br /> A I <br /> P NALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS oc <br /> R T <br /> 0 1 <br /> V A <br /> E L <br /> D SId� <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID 0f+S CODE 25287, CCR 2635 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: NRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACXFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> ads -5LM14 <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2635 (8) (4)) <br /> . ® 74M 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br /> t 8. LAKE TEST ON ALL SL94PS (24 HR. MINIMUM) NRS: (CCR 2635 (A)) <br /> RlAqlqG Lei 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> �1310. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> ® 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (8)) <br /> FINAL INSPECTION <br /> 12. PERFORMANCE TEST FOR 'ALL® MONITORING PROBES (CCR 2632 (C) (2)) <br /> 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (8) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PLNP SYSTEM SHUT-OFF (CCR 2635 (8) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (8) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCXED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> 19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21. •C* 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 5284 (E) (F)) <br /> COM MEMTS: <br /> EH23--006 3/92 (REVISED 11\92) <br /> 3 <br />