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COMPLIANCE INFO_2008 EVR PHASE II UPGRADE
EnvironmentalHealth
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JACK TONE
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1501
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2008 EVR PHASE II UPGRADE
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Last modified
7/28/2021 1:55:00 PM
Creation date
6/23/2020 6:56:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008 EVR PHASE II UPGRADE
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\UST\UST_2361_PR0505264_1501 N JACK TONE_2008 EVR PHASE II UPGRADE.tif
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EHD - Public
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Note: Enhanced Leak Detection(ELD)must be performednor stothe final in ect'on <br /> l <br /> A separate permit application is required to install E <br /> 2. To BE SUBMITTED PRIOR TO THE FINAL INSPECTION. <br /> El Complete to scale As-Built Plans <br /> E] Complete Monitoring and Response Plan <br /> WF-1 UPCF Underground Storage Tanks - Installation Certificate of Compliance (one form <br /> A per tank) <br /> F-1 Completed Underground Storage Tank Certification of Financial Responsibility form <br /> along with any required attachments <br /> ❑ Passing Line Leak Detector Test Results <br /> ❑ Passing Line Tightness Test Results (Required if the UST system does not satisfy the <br /> California Code of Regulations 2636(g) for automatic pump shut-off.) <br /> N�AF-1 Passing Enhanced Leak Detection Results <br /> D. INSPECTIONS: <br /> Note: A representative from the San Joaquin County Environmental Health Department <br /> must witness all activities described below. <br /> E] Tank holiday test (for fiberglass-coated steel tanks) performed prior to installation in <br /> excavation <br /> A114- E] Inspection of tank vacuum gauge(if applicable)prior to placement in excavation <br /> ❑ Tank soap test(for fiberglass tanks)performed prior to installation in excavation <br /> El Verification of tank set and anchorage in excavation <br /> Fj Primary piping including product piping, vapor recovery and vent line piping soap and <br /> pressure test <br /> ❑ Secondary piping including product piping, vapor recovery and vent line piping soap <br /> and pressure test <br /> ❑ 24-Hour secondary containment lake test on sumps and under-dispenser containment <br /> E] Piping Slope& cathodic protection prior to covering <br /> F-1 Overfill performance test <br /> ❑ Prior to receiving fuel, a complete functional test of tank and piping monitoring <br /> system(s) including overfill prevention <br /> ❑ Final inspection and demonstration of automatic shut down (if applicable). <br /> Revised 061108 5 <br />
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