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INSTALL_1996
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231883
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INSTALL_1996
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Last modified
9/25/2019 9:18:52 AM
Creation date
11/5/2018 11:53:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
1996
RECORD_ID
PR0231883
PE
2351
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3011\PR0231883\INSTALL 1996.PDF
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EHD - Public
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25. PIPING INFORMATION <br /> PIPING INFORMATION TANK# TANK# Z TANK# TANK# <br /> DISTANCE from <br /> DISPENSER to TANK <br /> MANUFACTURER C11I <br /> SYSTEM TYPE * �E [ !� /� <br /> CONSTRUCTION Dor D_L--� --�-- <br /> MATERIAL *** 4S <br /> LEAK DETECTION SYSTEM <br /> 100% METHANOL COMPATIBILITY with <br /> FRP <br /> L� <br /> CORROSION PROTECTION I L <br /> * System Type; suction, pressure, and gravity <br /> Construction: single-walled, double-welled, lined-trench, etc. <br /> *** Material Type; steel-iron, stainless-steel, fiberglass, etc. <br /> 26. Piping (cross-sectional diagram, including connections to tank and dispensers). <br /> Double wall piping or _ Secondary containment (Trench liner, etc.) <br /> A (1) Product line (leak detector or automatic shut-off on <br /> pressurized piping). <br /> _ (2) Vent and vapor recovery Lines if not designed to <br /> prevent the entrance of standing fluids. (Ball float valve) <br /> _ (3) Marways and other single walled pipe fittings on a <br /> double-walled tank, if not designed to prevent the <br /> entrance of standing fluid. - <br /> 27. X State water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. <br /> 28. Plan review and operating permit fees paid. <br /> 29. Monitoring and Response Plans submitted. <br /> 30. x Proof of financial responsibility on file. / <br /> � 3 Yt <br /> 31. What is the approximate depth to ground water: ' <br /> (include source of informatics - borehole logs, monitoring well data, water <br /> studies, etc.) /�� <br /> I � W, k I 1 ..,j1 <br /> 32. >( Total umber of tanks on site atter installation: 2 <br /> 33. A Any existing tanks to be removed or abandoned? Y S`Ld NO I ) If yes, submit State Water Resources <br /> Control Board "Facility Permit (B)" application form- <br /> 134. 1 Responsible party0 es) shall submit a "Letter of Ccasib mt" prior to the <br /> �J installation of new tanks. (Applies to sites with documented soil and/or groundwater contamination) <br /> 35. Canty/City Fire District and Building Department notified. <br /> 36. REMARKS <br /> ____________________________________________________________________________________________________________________________ <br /> ____________________________________________________________________________________________________________________________ <br /> _________________________________________________________________________________________________________________________ _ <br /> ____________________________________________________________________________________________________________________________ <br /> ____________________________________________________________________________________________________________________________ <br /> 7 <br />
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