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0 NEV UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: ADDRESS: <br /> FACILITY I0# TANKS UL# TANK MODE- <br /> /MATERIAL-CAPACITY: PRODUCT: R.r.H.Se <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 /> c L <br /> 0 S <br /> ITEM OR SWIPMEtT EXS?EC-lED <br /> GATE <br /> 1 1. UST PLANS SUBMITTED/ FEES PAID (H+S =OE 25287) <br /> 1 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> ` ( 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: BRINE(LItUID ANNULAR): OTHER: <br /> 1 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> iS. TANK APPROPRIATELY PLACED WITH APPROVED 3AtXFILL (APT/PEI) <br /> PIPING INSPECTIONS <br /> ` 1 6. PRIMARY PIPING TEST (MINIMUM 44 PSI/3D MIN) CC✓t 2636 <�)) <br /> 1 ! 1 7. SECONDARY PIPING CONTAINMENT TEST PSI: /MIN: . (CM Z636 Ce)) <br /> 1 ! 1 8. LAKE TEST ON ALL SUMPS (24 HR. MINI") HRS: C (a) C4)) <br /> 1 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 110. OMSPILL PERFORMANCE TEST <CCR 2535 (b) (1) (C)) <br /> 1 ( I11. ALL PIPING AND FITTINGS CORROSION PROTECTED CCCR 2636 (b)) <br /> 112. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> 1 I 113. PERFORMANCE TEST FOR "ALL" MONITORING PROSES LCCA 2532 tc) (2)) <br /> 1 1 (14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (Cz~u 2632 (c) (2)) <br /> 1 1 15. PERFORMANCE TEST OF LINE LEAK DETECTION tC:St 2643 cc) (1)) <br /> 1 116. PERFORMANCE TEST OF AUTOMATIC PUS SYSTEM SHUT-AFF (CCt 2636 (g)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> i 18. OVERFILL PROTECTION INSTALLED/APPROVED CCCZ 2635 (b) (2)) <br /> 1 ( 19. TANK ACCESS PORTS W=GHT TO GRADE CLOCKED AND WATERTIGHT) APT <br /> 129. TANK INTEGRITY TEST (PASSING HARD COPY) CC= 2635 (a) (5)) <br /> 121. MONITORING PIAN, RESPONSE PLAN AND LOG 3OOK ON SITE (= 26-zZ (d)) <br /> 1 I 122. "C" FORM COMPLETED AND SUBMITTED (CCt zoo (d)) <br /> 1 I 123. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CC2 2630-26.36) <br /> I24. ALL CMITIONS MET; FACILITY PERMIT ISSUED (H+S =E ZSZ34) <br /> COMMENTS: - <br /> EHZS-406 9/95 T <br />