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NEW US- 3TALLATION INSPECTION REI: <br /> FACILITY NAME: <br /> lzV eS ADDRESS: I 0 G �TD <br /> S61:EP5: I DCS TAW M008/mATERIAL: <br /> Ss '� <br /> CAPACITY: PRODUCT: <br /> T- `f <br /> R.E_H_S: <br /> A I <br /> P N ALL TANKS TO BE INSTALLED AND TESTED IN ACL13tDANC£ f, J <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> O I <br /> V A <br /> E L <br /> D S <br /> DATE ITEM OR ECUIPMENT INSPECTED <br /> '0 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> 2_ UST INSTALLATION PLANS APPROVED (CCR 2635 (E) C5)) <br /> INITIAL INSPECTIONS <br /> ✓ 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT:V C)j�NOLIDAT: <br /> VACUUM:L2 SOAP: PSI: MRS/MIN: lVlr BRINECLIOUID ANNULAR): OTHER: <br /> 23 0 4. PRIMARY TANK TEST: 2 PSI: NRS/MIN: 1 (- <br /> f 5. TANK APPROPRIATELY PLACED WITH APPROVm BACIFILL (CC 2635 (A) C3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 19SMI 6. PRIMARY PIPING TEST (MINIMUM 40 PSI= MIN) 50 5 _ �� ((fit 2635 (B) (4)) <br /> Y 7. SECONDARY PIPING CONTAINMENT TEST PSI:L{ HRS/KIM:3►II HER; (CCR 2635 (A) (4)) <br /> bilil 0'I ✓ 8. LAKE TEST ON ALL.SUMPS(24 HR_ MINIMUM) HRS: CCCft 2635 CA)) <br /> 9. ==TANK anNimGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 230 (I ✓ I 10. OVERSPILL PERFORMANCE TEST (Cat 2635 (A) (4)) <br /> V� I 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> 12. PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 (C) (Z)) <br /> ✓ 13. PERFORMANCE TEST OF CDTTIN K3 MONITORING SYSTEM (PANEL) (CCR 2632 (A) CZ)) <br /> 14. PERFORMANCE TEST OF LINE LEAK DETECTION CCCR 2632 (D) 2635 (B) (5)) <br /> nO 15. PERFORMANCE TEST OF AUTOMATIC PUMP STSTEM SHUT-OFF (CA3t 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR 26.35 (B) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED (Cat 2635 CE) (2)) <br /> 7i Z� �' ✓ 18. TANK A( SS PORTS BROUGHT TO GRADE Cl AND WATERTIGHT) (Cat 2631 (D) (5)) <br /> J0119. TANK INTEGRITY TEST (PASSING HARD COPY) (Cat 2635 (A) C5)) <br /> 2,2 �II ✓ 20. MONITORING PLAN, RESPONSE PLAN AID LOG BOOK ON SITE (Cat 2632 (E) (1) (2)) <br /> l O I V 21. 'C FORM" COMPLETED AID SUBMITTED (CO2 2635 CE)) <br /> 0� ✓ 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> D ' 23. ALL CONDITIONS MET; <br /> /F�AC�IL�IT�Y PERMIT IISSSi�JF/Dn ,J ,, y�- (H+S CODE 25Z84 (E) CF)) <br /> COMMENTS; If <br /> 2� �� t/`�V/ ,V L aUDY-C(,VV(U � 1 l k AA� 1/V� <br /> 123-006 3/92 (REVISEED 11\92) <br /> s <br />