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INSTALL_2014 B100
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0505264
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INSTALL_2014 B100
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Last modified
8/11/2021 11:07:34 AM
Creation date
11/5/2018 3:05:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2014 B100
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\1501\PR0505264\INSTALL FILE B100 2014.PDF
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EHD - Public
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XEMES TANK INSTALLATION CHECKLIST <br /> The tank owner should retain a copy of the completed Tank Installation Checklist in order to facilitate any warranty claim.Unless other <br /> information is requested,initial each step to verify that the item has been performed or installed per Installation Manual specifications _ <br /> and instructions. <br /> Al.GENERAL INFORMATION <br /> Date of Installation <br /> Address of Installation <br /> Tank Owner Name Telephone Email <br /> Address <br /> Contractor Name Telephone Email <br /> Address <br /> A2.TANK INFORMATION <br /> Tank Number Tank 41 Tank#2 Tank 43 Tank 44 <br /> UL#(from tank label) <br /> Nominal Tank Diameter(in feet)& <br /> Capacity(in gallons) <br /> Tank Type(SW,DW,MC,OWS, <br /> Other,and Wet or Dry) <br /> A3.PREINSTALLATION (See SECTIONS 2 and 3 for instructions and specifications.) <br /> Visual Inspection(no damage) <br /> Tanks shipped under vacuum <br /> (SECTION 4.3.requirements met) <br /> Tanks with monitoring fluid <br /> (record fluid level in reservoir and check <br /> for absence of fluid in or on tank) <br /> Tank passed pressure/soap test if req'd <br /> A4.DIAMETER MEASUREMENTS(See SECTION 11 for instructions and requirements.Mark location of measurements on site sketch.) <br /> Measurement#1 (before installation) <br /> Measurement#2(straps installed) <br /> Measurement#3(backfilled to top of tank) - <br /> Measurement#4(backfilled to subgrade) <br /> Deflection measurement(#1—#4) <br /> Measurement melts red is of TABLE 11-1 <br /> A5.INSTALLATION(See SECTIONS 5,6,7,8,9, 12 and 14 for instructions and specifications.) _ <br /> Primary backfill material <br /> Secondary backfill material(if used) <br /> Traffic loads(indicate yes or no) - <br /> Excavation(size and condition) <br /> Hole condition(indicate dry or wet) <br /> Backfill bedding - <br /> Tank spacing(between tanks and <br /> from excavation walls) <br /> Anchoring(indicate system used: <br /> none,deadmen or anchor slab) <br /> Anchoring(if used) <br /> 30 <br />
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