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STI SP001 AST Record <br /> Form completed by (name):_Gary Reeves Date: 5117]2019 <br /> (Title): CEO SP001 # _1'1111 Exp Date: 516121 <br /> Owner Information Facility Information Installer Information <br /> Name Name Name <br /> American Paving System Inc. American Paving System Inc. Unknown <br /> Number & Street Number & Street Number & Street <br /> 17333 Comconex Road 17333 Comconex Road <br /> City, State, Zip Code City, State, Zip Code City, State, Zip Code <br /> Manteca, CA 95336 Manteca, CA 95336 <br /> Compliance Standard <br /> Design Construction of tank: _Certified UL 142_ XO Yes ❑ No <br /> (CFC 29.5.4.9.1) <br /> Design of Supports: _Steel_ Yes ❑ No <br /> (NFPA 30)(CFC 3404.2.7.7) <br /> Electrical wiring of fuel pump:_N/A_ Yes ❑ No <br /> (CFC 3403.9) <br /> Piping System Components: _Steel_ Yes No <br /> (CFC 3403.6.2) <br /> Tank Normal venting: _2" 4'_Ahovegrade_ FX Yes No <br /> (CFC 3404.2.7.3) <br /> Emergency Venting system: _No Emergency vent 0 Yes No <br /> (CFC 3404.2.7.4) <br /> Tank Labelling: _Hazmat Lable_ n Yes n No <br /> (CFC 3404.2.3.1 - 3404.2.3.4) <br /> Overfill protection: _None_ Yes 0 No <br /> (CFC 3404.2.9.6) <br /> Liquid Transfer of fluids: _Pneumatic Displacement_ 0 Yes No <br /> (CFC 3405.2) <br /> Spill Control: _Concrete Containment_ Yes F No <br /> (CFC 3405.2) <br /> Protection from Vehicies: _Concrete Containment— <br /> Q Yes F-] No <br /> (CFC 5704.2.9.7.4 & 5704.9.3 <br /> Grounding & Bonding of Electrical system:_None_ F Yes X� No <br /> (NFPA 77 - 3.1.2 & 29 CFR 19 9 0.106(e)(6)(ii) <br /> Tank Anchorage: _None_ Yes No <br /> (CFC 5704.2.8.5) <br /> Tank passed Certified Industry Standards testing Yes_ XX Yes No <br /> Tank is suitable for continued use—Yes— Yes No <br />