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NEW USOSTALLATION INSPECTION AEcop <br /> FACILITY MAKE: W� ADDRESS: 15) <br /> SLEEPS: TANI^I! l (� l ULf g3�q3aTANK MmEL/MATERIAL: <br /> CAPACITY: P=UCT_dA-La-0 � R_E_H_S: 1 <br /> A I <br /> P MALL TANKS TO BE INSTALLED ANDCC <br /> ATESTED IM AORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S <br /> ITDI OR EDUIPl1ENT IMSpECSID <br /> DATE <br /> UST PLANS SUBMITTED/ FEES PAID (H+S RDE 25287, CCR 2635 (D) (8) <br /> Z. UST INSTALLATION PLANS APPROVED (a:R 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> Z D' 3_ INSPECTION AND TEST OF SELONDART CONTAINME)IT: HOLIDAY: <br /> VACUUM: IC. SOAP: PSI: HRS/MIN: �J V BRINECLIOUID ANNULAR): OTHER: <br /> 142310! <br /> VIMA <br /> 4_ PRIMARY TANK TEST: V \s PSI: C' HRS/MIN: Z 1n r <br /> ajZ D I \,/ 5. TANK APPROPRIATELT PLACED WITH APPROVED BACXFILL (CCR 2 `2635` (A) (3) (4) (6)/ API/PEI)j <br /> PIPING INSPECTIONS <br /> IC D I ✓ 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) C/1 !� n (C� 26.35 (8) (4)) <br /> ✓ I 7. SECONDARY PIPING CONTAINMENT TES PSI:4 `•iHRR'/MJIM:,�71J'aTHER: (C= 2635 (A) (4)) <br /> oil Vv// B. LAKE TEST ON ALL SLWS (24 HR_ MIMI") HRS: (Cat 2635 (A)) <br /> 5 ' ✓ 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (Cat 2635) <br /> b �fI f Wl10. OVERSPILL PERFORMANCE TEST (C= Z635 (A) (4)) 1 <br /> ALL PIPING AND FITTINGS BION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> 112. PERFORMANCE TES FOR -ALL- MONITORING PROBES (Cat 2632 (C) (2)) <br /> DI 13. PERFORMANCE TEST OF CONTINU M MONITORING SYSTEM (PANEL) (Cat 2632 (A) (2)) <br /> /L O ✓ 14_ PERFORMANCE TEST OF UNE LEAK DETECTION ���� (CCR 2632 (D) 2635 (B) (5))I <br /> 15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (Cat 2635 (B) (5)) <br /> I16. BALL FLOAT VALVES INSTALLED (Cat 2635 (B) (6)) <br /> O i f 117. OVERFILL PROTECTION INSTALLED/APPROVED CCat 2635 (E) (2)) <br /> �? (� v- 118. TANK ACCE PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> ✓ 19. TANK INTEQITI TEST (PASSING HARD MPT) (CCR 2635 (A) (5)) <br /> Z1 6 120. MCNITORING PLAN, RESPONSE PIAN AND LOG BOOK ON SITE (CCR 2632 (E) Cl) (2)) <br /> I21. 'C` FORM COMPLETED AND SLMMITTED (C= 2635 (E)) <br /> ?; oII✓ 22. MONITORING METHOD FOR ALL TANKS AMD PIPING APPROVED (Cat 2641-2644) <br /> 2 I ✓ <br /> 117A23- ALL CONDITIONS MET; FACILITY PERMIT ISSUED ()++S CODE 25284 (E) (F)) <br /> CCMKENTs: 1 1° ZD i-C-4L/, o (, t,— <br /> H23-006 3/92 (REVISED 11\92) <br /> s <br />