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A atic line leak detectors will be installed on pr. Azed piping <br /> Ma„ufacturer:_,/G�DEn __RQe i ___ Model: Q<L C_______ <br /> ___- Annual monitoring will be conducted on the pressurized piping with secondary containment. <br /> _ Annual line tightness test will not be required if the continuous monitor shuts down the pump <br /> and activates the alarm system when a release is detected and when the continuous monitoring <br /> system fails or is disconnected. <br /> OTHER PERTINENT INFORMATION <br /> 20. _�_ State Water Resources Control Board"Facility(A)"and"Tank Permit(B)"application forms submitted. <br /> 21. _�_ Plan review and operating permit fees paid. <br /> 22. ___- What is the approximate depth to ground water: �__Z S , <br /> -------------- <br /> (include source of information-borehole logs, monitoring well data,water <br /> studies, etc.) : �io�.!�tc. �Q GS--- /Z L E W 60 t�D Er`-_ 1a t10 3 <br /> 23. _-__ Location of all existing sewer lines,septic tank, pits and lines, and well(s) indicated on plans. NF-W 'S ,T-E <br /> 24. _X_ Total number of tanks on site after installation: 3 <br /> 25. -JK County/City Fire District and Building Department notified. <br /> 26. -X_ 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 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, wneerr aerator mu 'knowledge this responsibility for workplan submittal by signature and date below. <br /> Name--- C ---�l-Tom__---- --- - ------- - Q- <br /> ------ Title W 1►lt`fZ_`__ �_L'�'l 4 o it---- Date <br /> t - <br /> CONDITIONS OF APPROVAL: V <br /> 9 <br />