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19• <br />20. <br />21. <br />22. <br />23. <br />24. <br />25. <br />_ Piping (cross-sectional tram, including connections to tank and di3�Ensers). <br />(A) Vent and tank riser primary containment system equipped with overfill prevention system that: <br />V Restricts delivery of flow to tank [Section 2635 (b).(2) (B) or (C)], or <br />Provide positive shut off of flow to the tank at no more than 95 % [Section 2635 (b)(2)(01, or <br />(B) ✓ Vapor recovery piping designed so it cannot contain liquid phase product, or <br />(C) Suction piping (below grade piping operates at less than atmospheric pressure) [Section 2636 (a) (3)] <br />Sloped so contents of the pipe will drain back into the storage tank if the suction is <br />released. <br />No valves or pumps installed below grade. <br />V inspection method provided to demonstrate compliance with section 2636 (a) (3). <br />(D) ✓ Corrodible underground piping protected against corrosion (section 2636 (b)). <br />(E) Underground primary piping will meet all of the following requirements <br />_ Primary piping in contact with hazardous substance under normal operation conditions shalt be: <br />installed inside a secondary containment system in the form of: secondary pipe_Vault or <br />_lined trench to be sloped to a collection sump at the low point of the piping. <br />_✓ Primary piping and secondary containment systems will be installed in accordance with industry <br />code of practice and voluntary consensus standards.. <br />_✓ Lined trench used as secondary containment <br />_✓ Material compatible with the substance stored. <br />V' Covered and capable of supporting any expected vehicular traffic. <br />(F) Underground piping with secondary containment will be equipped and monitored as follows: <br />f Secondary containment will be equipped with a continuous monitoring system connected to an audible <br />and visual aLarm system. <br />Automatic line leak detectors wilt be installed on pressurized piping <br />Manufacturer: tl"'"/Qe�_ Model: TG5 - 3S0 <br />Annual monitoring will be conducted on the pressurized piping with secondary containment. <br />_ Annual line tightness test wilt not be required if the continuous monitor shuts down the pump and <br />activates the alarm system when a release is detected and when the continuous monitoring system <br />fails or is disconnected. <br />State Water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. <br />✓ Plan review and operating permit fees paid. `•L..' �,, ,.d <br />_ What is the approximate depth to ground water: %�9A �^e4 <br />(include source of information - borehole logs, monitoring well data, water <br />studies, etc.) <br />Total number of tanks on site after installation: t <br />✓ County/City Fire District and Building Department notified. <br />in the event contamination is observed, confirmed or suspected as a result of a leaking UST system it is your <br />responsibility [in accordance with (CCR) Title 23, Division 3, Chapter 16, Article 11, Corrective Action <br />Requirements] as an owner or operator to submit a workplan to PHS-EHD Site Mitigation Unit prior to initiating any <br />assessment or remediation activities. For further assistance contact the Site Mitigation Unit at (209) 469-3450. <br />The owner or operator must acknowledge this responsibility for workplan submittal by signature and date below. <br />Name Title Date <br />T n A- 1 .. n n <br />CONDITIONS OF APPROVAL: <br />7 S � c�ti-¢ems <br />., / �. i:' <br />U <br />