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<br /> Environmental Health Department
<br /> SAN JOAOUIN Environmental Health Department SANJOADUIN
<br /> I/l\SjulIfi°- Linda Turketter,RENS,Direetor —COUNTY--
<br /> Ke>y Foley,.."--,-
<br /> PROGRAM COOROINATWS 5. Contact Shewh Woldearegay,EHS,at(209)468-0216 to strange the following Inspection
<br /> Robes le—on,RENS appointments.All appointments must be scheduled 48 hours In advance.
<br /> tae Creur.RENS.R01 a) Inspection of lank vacuum gauge or inspection for brine leaks poor to tank placement in
<br /> Mid,z full RENS
<br /> my No."E""
<br /> excavation.All tank pre-installation tests shall be performed according to lank manufacturer
<br /> Munn—N4-0u.REHS instructions.The tank installation checklist must be submitted to EHO prior to the final inspection.
<br /> Augi 12,201 B
<br /> b) Verification of tank set anchorage,appropriate backfill,and appropriate additional cortosan
<br /> Protection of tank anchors(turnbuckles.eye bolls,etc).Additional corrosion protection Is required
<br /> MEL HIGGINBOTHAM on all exposed metal prior to covering
<br /> PM DESIGN GROUP INC c) Primary tank test,according to manufacturer's specif:eahons,prim to ballasting the tanks.
<br /> 6930 DESTINY DR.SUITE 100
<br /> ROCKLIN.CA 95877 d) Primary piping snap test of all piping and penetrations(product,vapor recovery,and vent):One-
<br /> hour pneumatic pressure test at 110%of operating pressure,or 40 psi,whichever Is greater,In
<br /> accordance with manufacturer installed-instructions
<br /> RE:CSTORE Wf76 FUEL ISLAND SR0079417 e) Verification of secondary piping slope at 1)8 Inch per foot or greater,to a containment sump with
<br /> 141 E.HARNEY LN.,LODI,CA 85240 an auditile/visual alarm
<br /> The San Joaquin County Environmental health Department(EHD)has completed the review,of the application if Secondary piping soap test of all piping and penetrations(product,vapor recovery,and vent):
<br /> for a par mit to install a Xerxes new underground storage tank(UST)System at the above noted address, One-hour pressure test at the manufacturer's recommended specification,
<br /> which will consist of: g) Verification of all pipe setbacks,cross-avers,and burial depth according to the manufacturers
<br /> TA05206/9 20,000 gallon regular gasoline Installatlon Instructions and verifu nm of appropriate piping backfill.
<br /> TA0520850 12,000 gallon diesel(Split tank)
<br /> TA0520851 8,000 gallon premium gasoline(split tank) h) Integrity testing of art sumps per the manufacturer's Installation instructions,prior to backfill.
<br /> 1) Verification of brine type and witnessing of brine addition,prior to backfill
<br /> The permit has been approved with the following conditions: j) Verification of leak monitoring communication for all installed vacuum,pressure,or hydrostatic
<br /> (VPH)components Including piping,sumps,under dispenser containment Sumps(UDCs),and all
<br /> 1. Contact the kcal Fire District,the San Joaquin Valley Air Pollution Control Disvict,and the local chase lines, Communication at end points of each vacuum zone and each vacuum monitored
<br /> Community Development Department for applicable permitssump must ore verified independently in operating condition.
<br /> 2. Any changes shall be submitted t0 the EHD for approval prior to commencing work,Including k) Verificallon of the dispenser footprints contained by the LOCI. Any putentral leaks from prong
<br /> change in contractors,service technicians,Installer,etc. All new submittals supersede the and fuel liners must drain directly Into UDCs.
<br /> previous ones. p Enhanced Leak Detection(ELD)testing,after facility ls In operating cond8ion. Appropriate lest
<br /> notification,tester certifications,and test method disclosure Is required.Passing ELD test results
<br /> J. Qualified Installers must possess or work under the direct and personal supervision Of an individual must be received prix to receiving hrel,
<br /> Physically present It the worn site,at all times while work is being performed,who possesses Eli of
<br /> the following m)Verification of VPH components installation(shroud boots and band clamps for spill containers,
<br /> • One of Several permissible valid,current contractors licenses Issued by the Contractors State appropriate rutiber-type gasket or clamps on lids on all fill,vent and STP sumps,etc.).
<br /> License Board(may be issued to the Installation company), n) Verification of overall prevention prior to first fuel delivery:Measurement of drop lubes to verify
<br /> • A valid,current UST InstallalloniRetrofming certHlcate issued by the International Code Council 96%tank volume shut off and/or verification that external and ibleNisual alarm acerates when tank
<br /> (ICC), .90%1.11,
<br /> • A valid,current certfficale of training from the manufacturer(s)of the component(s)being
<br /> installed of Spitbucket last,prior to brat Nal delivery:Verity minimum 5-gallon capacity and pass a ora hour
<br /> hydrostatic test(or equivalent)Proper drainage named must be verified.
<br /> 4. QualHled service technicians must possess or work under the direct and personal supervision of an p) Monitoring system functionality,prior to first fuel delivery:Functionality of the monitoring system
<br /> individual physically prosent at the work site,at all times while work is being performed. A4 must be verified to ensure it meets the requirements of Calilomia Code of Regulations(CCR)Title
<br /> P..—till of the following: 23 and Califomla Heats 8 Safety Code(HSC)Chapter 6.7.
<br /> • One of several permissible vald,current contractor licenses issued by the Contractors State q) Leak detector test.eller first fuel delivery:Leak detects must be tested to confirm that the device
<br /> License Board(may be Issued to the installation company), can detects look of 3 gallons per hour at 10 psi. Leak detector morntored line volumes shall be
<br /> A valid,current California LIST Service Technician certificate issued by the International Code appropriate for the make and model of gee installed leak detectors,and shall be verified at the time
<br /> Council(ICC), of installatgn.
<br /> • A valid current cerliicate of training from the manufacturers)of me c t(s
<br /> tested,repaired,or serviced. VI tem functionality,cher first hal delivery,in operating condition Functionality of the
<br /> 11 E
<br /> s g must be verified to ensure.t meets the requirements of CCR Title 23 and HSC
<br /> 6.7.
<br /> 1868E Hazelton Avenue/Stockton,California 952051 T 209 468-3420 1 F 2094840138 I
<br /> www.Sjcehd.com 2 ora
<br /> t� 1 2020
<br /> SAN;.JOANIN Environmenhl NjQNpe,6U0 N M E N TALC �I�� Environmental Health Department
<br /> -COUNTY— DEPARTME TOUNTY-
<br /> 6. A vats California Department of Tax and Fee Administration(CDTFA)number must be obtained and 18.Hazardous material or waste cannot be released,Intentionally or unintentionally,to the sower/septic
<br /> Provided to EHD prior to fuel drop,end must be uploaded into CERS, system,slam water system,or any other waters of the state. If a release occurs,it will be considered
<br /> illegal hazardous waste disposal and will be subject to enforcement.
<br /> T The following Items must be completed prior to scheduling the final inspection:
<br /> 19.A'Certifiation of InslabationlModificabon'form for installed tank systems shall be submieed into
<br /> a. An accurate and drawn to scale as-0u91 drewnng,which indicates the location of the UST CERS by the owner or operator,pursuant t0 CCR 2635(d),before this UST installation will be
<br /> system(underground storage tanks,piping.auxiliary and monitoring equipment)with respect considered complete by the EHD.
<br /> to buildings or other landmarks,per CCR 2711(aH8),most be submitted to EHD.
<br /> 20.All outstanding up-t"ate perms fes must be paid prior to receiving the final approval to operate.
<br /> b. Copies of any required installation checklists(tank,etc)must be submitted to EHD.
<br /> 21.This permR expires at the end of the calendar year.A request for extension to this permit must be
<br /> c The designated operator(DO)training requirement must be Satisfied,per CCR 2715(f). received by December 31,2019
<br /> d. Submit to the California Environmental Reporting System(CERS)all applicable hEzardous
<br /> materials,hazardous waste,and UST submittals.The submitW must be approved by EHD If you have any questions,please call are at(209)46811216.
<br /> 8. The installed UST system must be compliant with all applicable laws regulations,and industry
<br /> standards.All installation Guidance
<br /> and testing shall be n compliance with manWacturefs instructions and CCR TryyrR
<br /> 2635 and 2636 All monitoring system components shall be listed in the State Water Resources
<br /> Control Board's Laval Gudance Letter(LG)113.
<br /> 9 All primary containment including any integral secondary containment system must be certified by an
<br /> independent tesbrg organization and Labeled as required by the organization(California Code of
<br /> Regulations Tide 23 Chapter 16(CCR)2631(b),UL,ULC,ANSI,API,ASTM.etc See CCR Table B Stiewit Woklearegay
<br /> lot complete list.).Pursuant b0 Underwriters Laboratories Inc.(UL)Irsting requirements,only those Environmental Health Specialist
<br /> products bearing the UL mark will be considered listed ANY PARTIPRODUCT NOT MARKED WITH
<br /> THE UL LABEL OR ANOTHER LISTED TESTING ORGANIZATION WILL BE REJECTED.All
<br /> secondary containment system which is not an integral part of the primary containment shall be Cc:Chis Brown,PM Design Groups,INC-cOrowmDpinglaw.con
<br /> designed and constructed according to an engineering specification approved by a state registered
<br /> professional engineer or according to a nationally recognized industry code or engineering standard, Ornar Nasim,Facility Contact--unit—Oarmad.-
<br /> M CCR 2631(d).
<br /> Engel Moana,Contactor-.noel abort-8.1koo.-
<br /> 10.All metal components in direct contact with Bre ground,such as flexible connectors,swing joints,
<br /> fittings,clamps,hands,and pumps,shall have adequate corraskm protection
<br /> 11.Install concrete of sufficient thickness over USTS and around Sumps and dispensers,according to the
<br /> manufacturer's written Installation instructions and buoyancy calculations.
<br /> 12.All tank top openings that are connected to the primary space of the UST must have secondary
<br /> containment.audiblef-tial alarm,and be vapor tight or teninnater at grade.
<br /> 13.Sumps,Including UDCs,must be constructed in a manner to prevent vapore from entering the backfill.
<br /> 14.All secondary containment must be constructed b prevent water intrusion and must be continuously
<br /> monitored as required under HSC 25290.1.
<br /> 15.Chase piping must be VPH monitored and included in its respective product piping vacuum monitoring
<br /> zone.All vacuum zone volumes must be accurately programmed and their volumes adequate for Meir
<br /> respective vacuum Sensors.All sensors must be installed to detect a leak at the earliest opportunity.
<br /> 15.All appropriate test ports must be Installed to facilitate frequent routine communication testing(ag.at
<br /> the beginning and end of each vacuum zone bench and inside brine filled sumps).No adddional Shut
<br /> off valves should be installed between the monitored interstitial spaces and their respective sensors.
<br /> 17 Overfill prevention shall satisfy CCR 2635(b)(2)(C),pursuant to the permit application. No bait floats
<br /> shall be installed on vent lines to comply with overfill prevention requirements(Code of Federal
<br /> Regulations,Title 40,section 280.20(c))
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