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9 NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: Agro A ADDRESS: q + Line <br /> FACILITY ID# TANK# UL# TANK MODEL/MATERIAL: �( <br /> CAPACITY: �Vxxx:) PRODUCT: U L_ R.E.H.S: <br /> A I <br /> P N ALL TANKS TO SE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/NIN: BRINE(LIOUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED SACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2636 (e)) <br /> a. LAKE TEST ON ALL SUIS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> 12. PIPING SLOPES TO COLLECTION SUMP (CCR 2536 (c)(1)) <br /> FINAL INSPECTION <br /> (13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES CCCR 2632 (c) (2)} <br /> 14, PERFORMANCE TEST OF CONTI MONITORING SYSTEM (PANEL) CCCR 2632 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK OETECTION (CCR 2643 Cc) (1)) <br /> 16, PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (9)) <br /> 17. BALL FLOAT VALVES INSTALLED OPIM 5 3 VML <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED EM60 W ('guar-{ 2635 (b) (2)) <br /> 19. TANK ACCESS PORTS BROUGHT TO GRADE (L=(ED AND WATERTIGHT) API <br /> I20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG 30OC ON SITE (CCR 2632 (d)) <br /> I22. "C" FORM COMPLETED AND S MITTED (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 /> COMMENTS: <br /> EH23-006 9/95 T <br />