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NEW US- TALLATION INSPECTION REC* <br /> FACILITY MAKE: l/Y�S St eS ADDRESS. I O,ou -Foyle <br /> SLEEPS= TANKS S Soto m* 3�y TANK MODEL/faIAL:MD�j� Wr-LAt <br /> CAPACITY: C� PRODUCT: ` G <br /> A I <br /> P NALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R <br /> 0 1 I <br /> V A <br /> E L <br /> D S <br /> 'n/� '/G/1/V, J ITEM OR EQUIPMENT INSPECTED 1 <br /> DATE f �' V 1 -I { <br /> VOLl )O 11. UST PLANS SiI®II / FEES PAd CH+S CODE 25287, CCR 2635 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (Cat 2635 (E) C5)) <br /> l INITIAL INSPECTIONS <br /> 3_ INSPECTION AND TEST OF SECONDARY COIffAI1WEHT: Vo HOLIDAY: <br /> t <br /> VACUUM: SOAP: PSI: HRSIMIN:�1,..., BRINECLIOUID ANNULAR): OTHER: <br /> 2 D t ✓ 10A 4. PRIMARY TANK TEST- ,aLUJ-� PSr., 1 - HRS/MIN: I Vlv vf- <br /> I-{ 23 DI 5. TANK APPROPRIATELY PLACED WITH APPROVED BACZFILL (Cat 26.35 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 5laof 16_ PRIMARY PIPING TEST (MINIMUM 40 PSI/3O MIN) C� SI �t (CCR 2635 (8) (4)) <br /> 7. SfiCOIIDART PIPING LUffAINMEIiT TEST PSI:( LJ HRSJMIN:�f�''�� 141ESt: (C� 2635 (A) C4)) <br /> 8_ LAKE TEST ON ALL SL)PS (24. HR_ MINI") HRS: (C3t 2635 (A)) <br /> ' b I 9- UNUSED TANK om i wGS SEALED AND CORROSION PROTESTED 2L35) <br /> vlo <br /> 10. OVERSPILL PERFORMANCE TES (C= 2635 (A) (4)) <br /> / I11_ ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (8)) <br /> V <br /> � FINAL INSPECTION <br /> 12_ PERFORMANCE TEST FOR 'ALL' MONITORING PROBES CCC 2632 (C) (2)) <br /> I'l I ✓ I 13_ PERFORKANCE TEST OF a3 TINUGUS MONITORING SYSTEM (PANEL) (Cat 2632 (A) (2)) <br /> 2 14. PERFORMANCE TEST OF LINE LEAK DETECTION ((CR 2632 (D) 2635 (B) (5)) <br /> {- ,I15_ PERFORMANCE TEST OF AUTOMATIC PULP STSTEM SHIT-OFF (CCR 2635 (B) (5)) <br /> N BALL FLOAT VALVES INSTALLED (CCR 2635 (S) (6)) <br /> 8 7. pl C�A17. OVERFILL PROTECTION INSTALLED/APPROVED (Cat 2535 (E) (2)) <br /> 2311D <br /> ✓ 18. TANK ACCESS PORTS BROUGHT TO GRADE (LC7C n AND WATERTIGHT) (CCS 2631 (D) (5)) <br /> g /L V I 19_ TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> g 'L3 pll 20_ MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2532 (E) (1) (2)) <br /> 8 I ✓ <br /> dtpl 'C' FORM COMPLETED AND SUBKITTED (Cat 2635 (E)) <br /> 2 3 22. MONITORING METt= FOR ALL TANKS AND PIPING APPROVED (IX32 2641-Zb44) <br /> V I Z3_ ALL CONDITIONS MET; FACILITY PERMIT ISSIJFD (H+S� CEDE 25284 (E) (F)) <br /> CCM KEMTS: Ii' o n 6 <br /> 423--006 3/92 (REVISED 11\92) <br /> s <br />