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NEV UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: ADDRESS: <br /> FACILITY ID* TANKS ULA TANK MODEL/MATERIAL. <br /> CAPACITY: PRODUCT: <br /> A I <br /> P N ALL TANKS TO 3E INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> a I <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PIANS SUBMITTED/ FES PAID (H+S CCOE 25287) <br /> 2_ UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SMON ARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRSMIN: SRINE(LICUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIH: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED 3ACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> b. PRIMARY PIPING TEST (MINIMUM 40 PSI/3O MIN) CCC2 2.636 (e)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: ( 2636 (e)) <br /> $_ LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) : C205 (a) (4)) <br /> 9. UNUSM TANK OPENINGS SEALED AND CORROSION PROTECTED P£Z <br /> I10- aYSSPILL PSFORMAN—c TEST (CCC 2635 (b) (1) (C)) <br /> I11. ALL PIPING AND FITTINGS CORROSION PROTE=ED (CCR 26.36 (b)) <br /> I12. PIPING SLOPES TO COLLECTION SUMP <CvR 2536 (c)(1)) <br /> FINAL INSPECTION <br /> (13. PERFORMANCE TEST FOR °ALL" MONITORING PROBES CCCR 263Z (c) (2)) <br /> �14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTBN (PANEL) (CCZ 2632 (c) (2)) <br /> 15. PERFORMANCE TEST OF UNE LEAK DETECTION 2643 (c) (1)) <br /> 16. PERFORMANCE TEST OF AUTCMATIC PUMP SYSTEM SHUT-OFF Ct:Gt 2636 W) <br /> 17. BALL FLOAT VALVES INSTALL! <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2625 (b) (2)) <br /> ( , I19. TANK ACCE PORTS BROUGHT M GRADE (LOCXED AND WATERTIGHT) API <br /> I20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> I21. MONITORING PIAN, RESPONSE PIAN AND LOG 30OC ON SITE COLT 2632 (d)) <br /> I22. °C^ FORM COMPIETM AND SUBMITTED CCCZ 26,aas (d)) <br /> ( I23. WXITCRING METHM FOR ALL TANKS AND PIPING APPROVED (CCR Z63O-2636) <br /> 24. ALL C=ITIONS MET; FACILITY PO-RMIT ISSUED (H+S =E 25284) <br /> COMMENTS: <br /> -:123-006 9/95 7 <br />