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SAN10 A Q U I N Environmental Health Department <br /> C o U N _r Y Addendum to SR0085528 #2 10/ 13 <br /> Shell Food Mart <br /> 2320 N . EI Dorado St . Stockton <br /> UST SYSTEM RETROFIT OR REPAIR <br /> ( Submit minimum of 3 sets of plans & applications as originals will be retained by EHD ) <br /> 1 . Site map enclosed ? YES [ ] NO [ ] <br /> 2 . Submit copies of ICC Service Technician and/or Installer' s certificate and all manufacturer training <br /> certificates for each person installing or testing any component that is repaired or replaced . Ensure a copy of <br /> the " Site Health and Safety Plan " is available on the jobsite as required by Title 8 . <br /> 3 . Detailed description of work to be completed . List components to be repaired or replaced and attach a <br /> diagram drawn to scale showing location of repairs and/or replacements . If repairing a component, describe <br /> how this will be done . ( If adding piping , UDC' s , or other UST equipment, or performing tank top upgrade , <br /> use the UST Installation Application pages 4-8 as necessary for a timely plan review) : <br /> Diesel line leaking at Diesel STP sump <br /> Request Permit to determmine what is needed to make repairs <br /> Will update scope of work and materials once investigation has been completed <br /> 9/23/22 - Diesel line leak from primary line , could not find leak . Believe coming from dispenser <br /> Diesel piping . Leak was contain in the secondary . <br /> New scope of work : Remove all existing Diesel primary and secondary product pipe and replace . <br /> Upon completion of repairs test primary & secondary lines with EHD present <br /> 10/13/22 - 91 STP Sump Fiberglass Repair for 3rd party SB989 Testing to be completed <br /> 4 . List of equipment to be used (Attach manufacturer' s specification sheets showing third-party approval ) : <br /> 1 ) Primary Piping - NOV Red Thread IIA Piping 2" 0110120-069- 1 15' approximately 150' <br /> 1 a ) Primary fitting NOV Red Thread 2 " 90 Elbows 012020-360-4 (6) <br /> 1 b ) Primary fitting NOV Red Thread 2" 45 Degree 012020-310-4 (8) <br /> 1c) Primary Piping fitting NOV Red Thread 2 " TEE 012020-4104 (6) <br /> 2) Secondary Containment Piping- NOV Red Thread IIA Piping 3" 011030-069-4 15' approximately 150' <br /> 2a ) Secondary fitting NOV Red Thread 3" 90 Elbows 012030-3604 (6) <br /> 1b) Secondary fitting NOV Red Thread 3" 45 Degree 0120303-3104 ( 8) <br /> 1c) Secondary fitting NOV Red Thread 3" TEE 012030410-4 (6) <br /> 5 . Decontamination Procedures : <br /> a . Will piping be decontaminated prior to removal ? YES N NO [ ) <br /> b . Identify contractor performing decontamination : <br /> Name Elite IV Contractors Phone ( 209x461 -6337 <br /> Address 2535 Wigwam Dr City Stockton Zip 95205 <br /> 3of6 <br />