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COMPLIANCE INFO_2004-2005
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_2004-2005
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Last modified
1/30/2023 2:30:02 PM
Creation date
6/3/2020 9:43:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2005
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2004-2005.tif
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EHD - Public
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A <br /> Modern Welding Company, Inc. <br /> Subsidiaries Nationwide <br /> www.modweldco.com <br /> Installation Checklist - GlasteelII Jacketed Steel Tanks <br /> OWNER OF TANK: U.L. Label No. <br /> LOCATION OF TANK: DATE: <br /> TANK CAPACITY(GALLONS) <br /> Special Note: If the Glasteel II tank has not been installed within 90 days of delivery from the manufacturer, it is <br /> required that the tank be re-certified by the manufacturer prior to installation. Re-certification will be at the owner's <br /> expense. <br /> VACUUM RECORD <br /> RECORD VACUUM AT TIME OF DELIVERY inches Hg <br /> DELIVERY DRIVER INITIAL CUSTOMER/INSTALLER INITIAL <br /> VACUUM JUST PRIOR TO INSTALLATION inches Hg <br /> TANK HANDLING <br /> Equipment has sufficient capacity and size to lift and lower the tank without dropping <br /> or dragging the tank? [ ] YES [ ] NO <br /> If the tank is being stored, is the storage area secure and free of foreign matter that <br /> would damage the tank surface? [ ]YES [ ] NO <br /> Has the stored tank has been chocked with a suitable non-abrasive cushioning? [ ]YES [ ] NO <br /> INSPECTION <br /> Has the tank exterior been inspected and any damage properly repaired? [ ]YES [ ] NO <br /> Have shipping plugs and thread protectors been removed from all openings(excluding vacuum gage location) <br /> and permanent metal plugs installed in the unused openings? [ ]YES [ ] NO <br /> TESTING <br /> Does the factory installed vacuum gage indicate at least 5.3 inches Hg vacuum on the interstice? <br /> [ ]YES [ ] NO <br /> Have all local or state requirements been met? [ ]YES [ ] NO <br /> EXCAVATION AND BEDDING <br /> Is the excavation free of any material or object that may cause damage to the tank exterior? <br /> [ ]YES [ ] NO <br /> Has the bottom of the excavation been suitably graded and a minimum of 6 in. clean sand, pea gravel or <br /> crushed stone been installed to serve as bedding material? [ ]YES [ ] NO <br /> Is the burial depth of the tank within its listed burial rating? [ ] YES [ ] NO <br /> Do burial depths meet the minimum installation code requirements? [ ]YES [ ] NO <br /> ANCHORING <br /> (Indicate Choice) [ ] Deadman anchors [ ] Concrete pad below tank [ ] Pavement cover and backfill <br /> overburden is adequate to hold down tank [ ] Not applicable at this site <br /> For a concrete pad installation, has the minimum 6 inches of clean sand,pea gravel or crushed stone been <br /> placed between the tank and pad? [ ]YES [ ] NO <br /> Which holddown strap material was used in this installation? [ ] Steel Straps [ ] Fiberglass [ ] Nylon/ <br /> Polyester Straps or Other For"Other" explain: <br /> If steel hold down straps are used, do the steel anchor straps have insulating, dielectric material separating <br /> them from the tank? [ ]YES [ ] NO, <br /> For steel straps...Is the tank electrically isolated from the anchor straps? [ ] YES [ ] NO <br />
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