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0—au <br /> UST INSTALLATION INSPECTION RECORD? <br /> FACILITY NAME: AOORRESS: <br /> FACILITY 10* TANKS ULA TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: <br /> A 1 <br /> P N ALL TANKS TO BE 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 EflUIPMENT INSPECTED <br /> OATE <br /> II t. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25Z87) <br /> I 12. HST INSTALLATION PIANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: SRINE(LIOUIO ANNULAR): OTHER: <br /> 14. PRIMARY TANK TEST. PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED 3AWILL (APT/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSIM MIN) < 2636 Ce)) <br /> T. SECONDARY PIPING CONTAI&MOT TEST P4I: MIN: OTHER: ( (e)) <br /> I a. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: ( (a) 06)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> I10. OVERSPILL PERFORMANCE TEST (CCz 2635 (b) (1) (C)) <br /> II I11. ALL PIPING AND PITTINGS CORROSION PROTECTED CCG? 2636 (b)) <br /> I12. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> (13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> I14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CLX 2632 (c) (23) <br /> I15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCS 2643 (c) (1)) <br /> I I16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM S)RR'-AFF CCGR 2636 (g)) <br /> 17. &ALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/ (CCR 2635 (b) (2)) <br /> II 19. TANK ACCESS PMTS 3ROUGHT M GRADE (1.00XED AND WATERTIGHT) APT <br /> I20. TANK INTEGRITY TEST (PASSING HARD COPT) (CC2 2635 (a) (5)) <br /> I21. MONITORING PLAN, RESPONSE PLAN AND LOG 300K ON SITE (CGR 26.32 (d)) <br /> I22. "C" FORM CLIMPLETED AND SUBMITTED « 2635 (d)) <br /> I23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> I24. ALL CCUDITTONS MET; FACILITY PERMIT ISSUED (H+S CCOE 255284) <br /> COMMENTS: <br /> El.473-306 9/95 7 <br />