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11 <br /> NEW UST INSTALLATION INSPECTION RECD <br /> FACILITY NAME: ADDRESS: O 141 . <br /> 1 <br /> PR# TANK# v UL#AZo+),-f TANK MODEUMATERIAL: Awe<u'o jiL' <br /> O <br /> COMPARTMENTALIZED TANK? (If yes, complete one form for each tank) ❑YES NO <br /> TANK CAPACITY: t G) , ©po PRODUCT: <br /> DATE A INITIALS <br /> P <br /> P <br /> R ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE WITH MANUFACTURER WRITTEN <br /> SPECIFICATIONS <br /> E <br /> D <br /> 1. UST PLANS SUBMITTED AND FEES PAID (H&S CODE SECTION 25287 <br /> 2. UST INSTALLATION PLANS APROVED <br /> INITIAL INSPECTIONS <br /> 3. INSP TION AND T ST OF SECONDARY C NMENT: HOLIDAY TEST: VACUUM: <br /> I 0 SOAP: PSI: HRS/MIN: ftBRINE IQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL API/PEI <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST MINIMUM 40 PSI/30 MIN CCR 2636 e <br /> 10) <br /> 7. SECONDARYPIPING CONTAINMENT TEST: PSI: HRS/MIN: o THER: CCR 2636 e 8. LAKE TEST ON ALL SUMPS 24 HR MINIMUM HRS: CCR 2635 a 4 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 10. OVERSPILL PERFORMANCE TEST CCR 2635 b 1 C11.ALL PIPING AND FITTINGS CORROSION PROTECTED CCR 2636 b 12. PIPING SLOPES TO COLLECTION SUMP CCR 2636 c 1 <br /> FINAL INSPECTION <br /> MO V1 A 13. PERFORMANCE TEST FOR"ALL"MONITORING PROBES FCCR 2632 c 2 <br /> 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM CCR 2632 c 2 <br /> 15, PERFORMANCE TEST OF LINE LEAK DETECTION CCR 2643 c 1 <br /> 16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT OFF ICCR 2636 <br /> CA 18. OVERFILL PROTECTION INSTALLED AND APPROVED ICCR 2635 b 2 <br /> 19. TANK ACCESS PORTS BROUGHT TO GRADE LOCKED AND WATERTIGHT API <br /> 20. TANK INTEGRITY TEST PERFORMED HARD COPY SUBMITTED CCR 2635 a 5 <br /> 21. MONITORING PLAN RESPONSE PLAN AND LOG BOOK ON SITE FCCR 2632 d <br /> 22."C"FORM COMPLETED AND SUBMITTED ICCR 2635 d <br /> TA 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED FCCR 2630-2636 <br /> 24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H&S CODE 25284 <br /> COMMENTS <br /> EH23 006 3/18/02 <br /> 10 <br />