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NEST UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: ®° ADDRESS: <br /> FACILITY to*. ULA TANK ACOEL/MATERIAL: <br /> CAP ACZT7: 1) PRODUCT: R.c.H.S: <br /> A i <br /> P N ALL TANKS TO $E INSTALLED AND Mi IN AC=ROANC <br /> P i WITH NANUFACTURSt WRITTEN SPECIFICATIONS <br /> R T i (/ <br /> E L <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FES PAID (H+S CODE 252877 <br /> 1 1 2. UST INSTALLATION PLANS APPROVES! <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VAGI m PSI: HRS/NIM: 3RI)IE(LICUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK &: PSI: D m HRS/MIN: ?, <br /> 1 5. TANK APPROPRIATELY PLACED WITH APPROVED 3ACXFTLL CAPT/PEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM! 44 PSI/30 AIN) <" 30m) <CGI 2536 (e)) y <br /> 17. SE=DARY PIPING COfTAINNENT TEST PSI: HRS/MIN: ®OTHER: CZ06 (e)) <br /> 1 S. LAKE TEST ON ALL SUMPS (24 HR- AINI ) HRS: C2635 (a) (4)) <br /> 9. UNUSM TANK OPENING SEALED AND CORROSION P4 7-1 PEI <br /> '?[I&IMIi 1 110. OVERSPILL PERFORMANCE TEST CC= 2635 (b) (1) CC)) <br /> 7 } ! 111. ALL PIPING AND FITTINGS CORROSION P as---iw (CGI 2636 (b)) <br /> 1 1 112. PIPING SLOPES TO COLLECTIONN SUMP (cam 2636 (c)(1)) <br /> FINAL INSPECTION <br /> PERFORMANCES TEST FOR "ALL" MONITORING PROBES Ccs 2632 Cc) (2)) <br /> 1 14. PERFORMANCE: TEST OF CoNTINRNOUS MONITORING SYSTEM (PANEL) (CGI 2632 Cc) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK DETECTION (CT 2643 Cc) (1)) <br /> kl116. PEFMMANCE TEST OF AUTOMATIC PUMP STS M4 SHUT-OFF (Cut Z636 (g)) <br /> V. $ALL FLOAT VALVES INSTALLED klm <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED (CGI 2635 (b) (2)) <br /> 119. TANK ACLE55 PORTS 9ROUGHT TD GRADE (LOCXED AND WATERTIGHT) APT <br /> 120. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> /( 121. XMITORING PLAN, RESPONSE PLAN AND LOG 300K ON SITE C= 2632 (d)) <br /> 1 - I 122. "C" FORM CCHPL.eTED AND SUBMITTED (= ZSoZ 5 Ctt)) <br /> 1 173. MONITORING METHOD FOR ALL TANKS AMC PIPING APPROVED CCGt 2530-2536) <br /> 124. ALL ....EDITIONS MET; FACILITY PERMIT ISSUE) (H+S COBE 25184) <br /> =MENTS: <br /> a23-306 9/95 T <br /> I <br />