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<br /> 9330 BALBOA AVENUE
<br /> SAN DIEGO, CA 92123
<br /> CD 1999 Jack in the Box Inc.
<br /> These drawings and specifications
<br /> are the property of Jack in the Box Inc
<br /> and shall not be copied or reproduced
<br /> without its previous written consent.
<br /> fIMF,
<br /> rx, dates
<br /> T E M
<br /> PE EL
<br /> PR ((,
<br /> RELEASE: OCT. 25, 2004
<br /> �p' w.. P,M.(JIB ONLY):
<br /> ........
<br /> PERMI T:
<br /> DNET L '�5� E �
<br /> A — DIE
<br /> BID:
<br /> CONSTRUCTION:
<br /> revisions
<br /> ASU[3r411'TED 5Q6
<br /> SHEET INDEX
<br /> .............
<br /> FUEL SYSTEM
<br /> _.._...___._........._._._»...__..__._...._........_...
<br /> FSOX) FUEL TITLE SHEET "-,
<br /> FUEL PIPING PLAN
<br /> F1,0 EQUIPMENT SCHEDULE (6 MPD E-- Z"\-
<br /> F2.0__._._._._-- TANK SLAB, SEC11ONS & DETAILS
<br /> l FUEL. PIPING DETAILS
<br /> NOTEF4.0 FUEL PIPING DETAILS
<br /> DISPENSER SUMP DETAILS
<br /> FUEL. SYSTEM TO COMPLY MTFi EXECUTIVE ORDERS: i MEALY VAPOR BLADDER SYSTEM
<br /> VR--101--D (PHIL.---nTE PHASE 1) —F7-T--------- SPECIFICATIONS
<br /> ...........
<br /> VR---202--A (HEALY PHASE 11 WITI-i ISD) SPECIFICATIONS
<br /> TYPICAL ISOMETRIC LAYOUTMPD) ..............
<br /> FUELING POSITIONS: 12 GASOLINE 4 DIESEL li ENHANCED LEAK DETECTION SITE PLAN
<br /> FUELING NOZZELS: 12 GASOLINE 4 DIESEL ____._.___..._.______..v____.__._....._.»..
<br /> DISPENSER I GILBARW ......
<br /> DISPENSER MODEL: ENCORE ------1..........
<br /> ............
<br /> ......... -------- ----------- ------
<br /> Quick Stuff Compliance Documentation For JIB/OS Quick Stuff Compliance Documentation For JIB/QS
<br /> Code Key
<br /> CM JIB Construction Manager Itern Environmental Permits Responsible Verified Date
<br /> The following documentation must be submitted to the GC = General Contractor Party (initials)
<br /> Construction Manager bound in a 3--1 binder and labeled FSE m Fuel System Engineer ------ ------
<br /> "QS Compliance Documentation" and labeled with the site i Fuel Contractor TANK REGISTRATION APPLICATION: (i To be tank owner of record) (see nxamples below) FRE
<br /> number, pi to release of final payment:
<br /> FPIE = iuel Permit Expediter
<br /> El = Environmental Compliance CA Unified Program Consolidated Forms (Facility, Tanks, and Cert. FPE/FC
<br /> Services Company Of Compliance formerly known as Form A, B, and C
<br /> CSO = Quick Stuff Operations 2 AZ Notification for Underground Storage Tanks,
<br /> FEV = Fuel Equipment Vendor 3 TX Underground Storage Tank Registration and Self Certification Form,
<br /> RA = [Restaurant Accounting
<br /> JIB EE = JIB Environmental Engineer 4. PERMIT TO CONSTRUCT/INSTALL FPE
<br /> ------------ ------ ..........
<br /> item Construction Pel Responsible Verified Date 5 PERMIT TO OPERATE UST i To be tank owner- of I FPE
<br /> Party (initials) .......... ............
<br /> APPLICATION FOR TEMP CLOSE -TANK
<br /> 1 Tank manufacturer's installation checklist ...........».
<br /> ...... 6 Permit to Close/Remove UST (as ap, I le) FPE
<br /> ——----_...___ __ _...___Tank ..........
<br /> 2 receiving, record -nit Received
<br /> 7 UST Perr CM
<br /> 3 1 manufacturer's checklist GC
<br /> ------ HAZARDOUS MATERIALS:
<br /> 4 -Tank charts 1,�a\�e second q y re GC
<br /> ------- 8 Fire Permit (ECSC To be owner of record) FC
<br /> 5 Completed and �sign�d, JIB fuel system inspection checklists and punch lists CM
<br /> C> Roup Vic.
<br /> 6 ECSC merit Su FEV 9
<br /> CD --- ------- —------ Hazardous Materials Storage Permit (El To be owner of record) FC
<br /> 8 7 Confirm ECSC receipt of fuel equipment sur CM
<br /> Cli 8 Monitor-in _-,,2�tem-rei C C, GC 10 Hazardous Materials Dispensing (ECSC 'To be owner, of record) FIC ARMCTLRE
<br /> LANDSCAPE ARCLITECTM
<br /> 9 Monit 1 11 Hazardous Materials Business Plan (CA Only)
<br /> a ECSC_L_ (i To be tank owner of record) AIR JIB EE DUIRING
<br /> E 10 Certification of monito inqsy�sjte
<br /> n2jqIIqLion_�qqflA a (I C GIC
<br /> Current CARB executive orders date states form FPE
<br /> _p QUALITY APPLICATIO TS (i To be. tank owner of record)
<br /> 12p
<br /> GC NS/PERMI
<br /> 12 Hazardous waste manifests for waste 3001 Ill Blvd #210
<br /> ------qenerat��Cqen�Lc2py_12 -qqa,
<br /> 13 Copies of all permits and approvals as follows: Rage CA 95661
<br /> Change
<br /> 12 Application for Air Quality Permit 'to Construct/In stall (ECSC To be tank owner of record) FPL Tet 916-771-
<br /> F
<br /> Zoning 2555
<br /> Special x p ign nditio -3 e CM ........ .......... ...... ............... Fax 916-771-9255
<br /> --Ea 13 Permit to Coristi n tqIL Fl
<br /> Val c (5, Cm Wei fldeskmcorn
<br /> an, e
<br /> U14 Construction Comp
<br /> E letion Notification FC
<br /> W Site Plan__�pproved W ....... ------ MU*W, CA lill CA
<br /> a CM 15 Air Quality Permit to Operate (i To be tank owner of record) FIC BdIl WA Petakirm, CA
<br /> CP
<br /> _Q__Approach Perl Cm
<br /> B#:
<br /> E State CM OTHER ENVIRONMENTAL PERMtrojAP1`111 CATIONS (list e�low FPE RHL JOJ11305l
<br /> County CM Financial Responsibility Permit
<br /> ------ site information
<br /> E E
<br /> a El City W 1-Y ECSC
<br /> 16 CERTIFICATION OF FINANCIAL RESPONSIBILI (CM to contact ECSC for certificate)
<br /> X El G Permit GM
<br /> '7 MK TYPE:-8EC13RLN68
<br /> co X Demolition Permit
<br /> CM
<br /> (0 * ---------------------�
<br /> F 17 TX Only-"Volatile Chemical Sales Permit". TX Health Department operations permit
<br /> Sews Sys em Perl CM JIB #: 4374
<br /> M CM
<br /> to sell ab chemicals. Obtained from JIB Restaurant Accounting Dept.
<br /> Q Water Well Pel Cm
<br /> ...... .......... ADDRESS:
<br /> Sewer Conne tion
<br /> M C _p roval CM
<br /> 15 ABBREVIA flONS ENVIRONMENTAL, TESITNG:
<br /> ,X Ej Architectural ±p
<br /> ............ ,proval CM TRINITY PKY,
<br /> 18 Tank integrity -tests (send copy to ECSl FC 10858 T
<br /> E1 Lanc1scqRej-1 ci,!j, A >rovcal Cm ......
<br /> 19 Line integrity tests (send copy to ECSl FC
<br /> A,F.G. ABOVE FINISH GRADE Stormwater Man ment Permit Cm
<br /> —--------- STOCKTON, CA 95219
<br /> CM 20 Liquid removal rate test results DIA, DIAMETER ADA �py
<br /> (send copy to ECSC) FC
<br /> C4 4
<br /> 0 — Vapor recovery testing;
<br /> 0 1 DETAIL Ej Utility Relocation �pproval CM DRAWN BY: Wl
<br /> L0
<br /> 0 -- Pressure leak eca test-,.results, _ send d c2n
<br /> M F.R.P. FIBERGLASS REINFORCED PIPE Perl CM 21 .....�y FC
<br /> ; --- _,..____.__.._._.._._. ,_.._._. ........__.__._»___. .._...
<br /> ------- ---- SCALE: NONE
<br /> 0 Food/Beverage Sale Approval RA 22 FC
<br /> GAL. CTA K2Ee,_Ls�L�Lq_test results send cop EL,S
<br /> i
<br /> -j (0 ------ 23 A FC
<br /> i GENERAL CONTRACTOR iq,��i�d ��L _�atio test results
<br /> &
<br /> El
<br /> Performance Bond GC
<br /> MIN, MINIMUM PHASE I Vapor recovery. testing:
<br /> < il�iqh qy_Bond -------
<br /> MAX, MAXIMUM 24 Pressure integrity of drop tube and drain valves (send copy to ECSC) FC
<br /> E- CM SHEET
<br /> Offsite/Driveways Approval
<br /> Mi MULTIPLE PRODUCT DISPENSER E
<br /> Util�Afasements CM
<br /> 0,C. ON CEN TER 25 Swivel adapter torque test (send copy to ECSC) FC:
<br /> Beer/Wine Permit
<br /> TI-M TANK LEVEL MONIFORING Building/Canopy Sprinkler Systern CM 26 Secondary Containment test results -- Tal piping, sumps, UDCs (send copy to ECSC) FC
<br /> Typ. TYPICAL El Planninqqgt. Env. Pernnit CM ------- ...........
<br /> W/ NTH Oil Ca. Ap Tank L..mayors t W 27 Reverification of all Section 3 Testing (send copy to ECSC LFSOnO
<br /> _Ei ovals r
<br /> FC
<br /> OilCo,___Approvals __ Ln__Plan W (CA Only -- must be completed within 30 days of start up)
<br /> S
<br /> Copy of Certificate of Ocr 'al (if required) Cm 28UST Certificate of Intall s ation co o FC
<br />
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