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NEW UAL INSTALLATION INSPECTION )RD <br /> FACILITY NAME: r ADORESS: <br /> SLEEPS# TANKS Ulf TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: R.E.H_S: <br /> A I <br /> P NALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH 010FAC7URER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> E L F <br /> / <br /> D S <br /> REY <br /> DATE ITEM OR EQUIPMENT INSPECTED <br /> 1. UST PLANS SUBMITTED/ FEES PAID (N+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: SMP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: �ZoHRS/MIN: t <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> r 6. PRIMARY PIPING TEST (MINIM!/ 40 PSI/3O MIN) s ' O (CCR 2635 (B) (4)) <br /> rd 7. SECONDARY PIPING CONTAINMENT TEST PSI: 16 HRS/MIN: 30 OTHER: (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: Z49 #a (CCR 2635 (A)) <br /> f 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) CO) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <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 (B) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCIO D AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> 19. TANK INTEGRITY TEST (PASSING HARD COPT) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) Cl) (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 /> 2-3-..» ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25234 (E) (F)) <br /> CCMMENTS: 0-��] /a.m- ii f . <br /> i ^p V�ef O C` <br /> EH23-006 3/92 (RE .J a <br /> J <br /> ISED 11\92} <br /> 8 <br />