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av UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: ADDRESS: <br /> FACILITY ID# TANKS Ut-* TANK AMELMATERIAL: <br /> CAPACITY: PRODUCT: <br /> A I <br /> P N ALL TANKS M SE INSTALLED AND TESTED IN ACCMDANC$ <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM aR e-wimENT INSPECTED <br /> OATS <br /> 1. UST PLANS SUBMITTED/ FES PAID CH-S CODE 25287) <br /> Z. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> ` 13. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACJ 24: SOAP: PSI: HRSMIN: 3RINE(LICUID ANNULAR): MER: <br /> I I 4. PRIMARY TANK TEST: PSI: USIMIN: <br /> iS. TANK APPROPRIATELY PLACED WITH APPROVED 3ACXFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMJM 40 PSI/30 MIN) CCCR 2636 (e)) <br /> 7. SECONDARY PIPING CONTAIN MENT TEST PSI: MIN: OTHER: ( (e)) <br /> 8. ON ALL PS (24 HR. MINI ) : C (a) (4)) <br /> ' 9. UXtJSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> r I10. OMSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> I11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> I12. PIPING SLOPES M COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FTHAL INSPECTION <br /> �13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES CCCR 263Z Cc) (2)) <br /> �14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CO2 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 CCGi 2636 (9)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/ (CCR 2635 (b) (2)) <br /> I19. TANK ACCESS PORTS 3RCUGHT TO GRADE (LOCXED AND WATERTIGHT) API <br /> I20. TANK INTEGRITY TEST (PASSING HARD COPT) (CCR 2635 (a) (5)) <br /> I21. MONITORING PWA, RESPONSE PLAN ANO LING 30DK ON SITE CCCR 262 (d)) <br /> "C' FORM COMPLETED AND SUBMITTED CCCR 2635 (d)) <br /> �23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED CCCR 2630'2536) <br /> 24. ALL =901TIONS MET: FACILITY PSHIT ISSUED (H+S =OE 25284) <br /> COMMENTS: <br /> S40-306 9/95 7 <br />