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INSTALL_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0546181
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INSTALL_2021
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Entry Properties
Last modified
4/17/2023 9:15:47 AM
Creation date
10/30/2020 4:28:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2021
RECORD_ID
PR0546181
PE
2351
FACILITY_ID
FA0026131
FACILITY_NAME
7-ELEVEN INC. #38616
STREET_NUMBER
601
Direction
W
STREET_NAME
CAROLYN WESTON
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16422019
CURRENT_STATUS
01
SITE_LOCATION
601 W CAROLYN WESTON BLVD
P_LOCATION
01
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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TANK INSTALLATION CHECKLIST <br /> .£. .. F ..{. .•. Vim. - y tJ`- <br /> 1i <br /> •rt 'i i . <br /> F. <br /> I - <br /> INSYALLiNG; AN S See S ons. 5`aif '7: ' TA r` ,•; . <br /> ct . tl. 'i#: `,.- �':TA ':#2> : .TAN - <br /> ddd <br /> Record 'tankdiameter measurement #1 ( before installation ) ) ( <br /> Record final backfill bedding depth undertank inches. or centimeters <br /> Record.final tankspacing between tanks - inches orcentimeters <br /> Record final tank spacing from tank endcap to excavation walls - inches <br /> or centimeters a 36 <br /> If applicable, deadmen used - factory-supplied or other <br /> If applicable, anchoring hardware - factory. supplied or other tR � c, :VL <br /> . <br /> er <br /> Record diameter measurement #2 ( after straps are installed ) fi <br /> /Y <br /> Subtract diameter measurement #2 from 91 and record .-- � - L. <br /> - <br /> j Deflection measurement meets Table 1 -6 requirements yes or no <br /> Voids under tank between ribs and under domes filled with backfill .. <br /> andtam or. no . �"' .� <br /> Backfill placementand compaction meet requirements - yesor no A -r <br /> Piping connections meet requirements - yes or noS <br /> Fittings and other metal components are coated for corrosion <br /> protection - yes or no <br /> Record diameter measurement #3 ( after backfilling totop of tank is <br /> complete) <br /> Subtract diameter measurement #3 from # 1 and record — Y " <br /> Deflection measurement meetsTable 1-6 requirements - yes or no <br /> f Tank was ballasted prior to bringing backfill to top of tank - yes or no <br /> After backfilling is broughtto top of tank (See Sections 5, 6 and 8) <br /> Tank was ballasted after bringing backfill to top of tank - yes or no �j j <br /> Postinstallation tests were conducted for pressure-testable tanks yes �� � <br /> or no <br /> If applicable, optional hydrostatictest was performed - yes or. no G' /(�. 0001/ 6 <br /> i if applicable, containment sump test was successful - yes or no 0e. <br /> 1 Record final depth of backfill over tankgive in inches or centimeters P . <br /> M ' <br /> 1 <br /> Record diameter measurement #4 ( after backfilling isbroughtto <br /> // IF � r <br /> sub rade <br /> Subract diameter measurement. 94 from 0 and record <br /> Final deflection measurement meets requirements of Table 16 - yes �S Y � <br /> or no <br /> If applicable , type of surface pad used -' concrete or asphalt . <br /> If applicable, thickness of surface pad used - give in inches or <br /> centimeters and note which type g <br /> If applicable, record monitoring fluid level when backfilling & to p slab: : / <br /> installation are complete <br /> i <br /> 6 IMOG1 '114PP Z C L I X E R X E Q <br />
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