Laserfiche WebLink
SANJ O A Q U I N Environmental Health Department <br /> COUNTY - -- <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 [I 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 /> Removing 2 satellite diesel dispensers (FP 1 /2 & FP 5/6) ; reroute diesel product lines to FP 3/4 & 7/8 ; <br /> Uipjuade existing Gilbarco dispensers with 4 dispensers to latest Gilbarco Encore 700 ' s . Remove ALL Float anc <br /> Chaim and replace. them with 208 Stand Alone SPnmrt <br /> AFF Ccnu QF \XI(IRKFZR I) FTAII FI) r) FCcgipTinm nF WnRK Tn RF cnmpi FTFD <br /> 4 . List of equipment to be used (Attach manufacturer' s specification sheets showing third -party approval) : <br /> Veeder Root Non - Discriminating Piping Sump Sensor 794380-208 <br /> Gilbarco Encore 700s <br /> Shear Valves 10P-0152 <br /> Franklin Fueling Flex Connector FX- FF20X24HMXM346 <br /> Misc12iping NOV Red Thread IIA - <br /> 5 . Decontamination Procedures : <br /> a . Will piping be decontaminated prior to removal ? YES NO [ ] <br /> b . Identify contractor performing decontamination : <br /> Name TANK-TIGHT SYSTEMS , INC Phone 916 667-6891 <br /> Address 8515 WATERMAN ROAD City ELK GROVE Zip 95624 <br /> 3of6 <br />