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INSTALL_2022
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0547762
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INSTALL_2022
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Last modified
1/23/2023 11:24:15 AM
Creation date
7/6/2022 9:54:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2022
RECORD_ID
PR0547762
PE
2351
FACILITY_ID
FA0027204
FACILITY_NAME
SAFEWAY FUEL CENTER #0055
STREET_NUMBER
19533
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
19533 S MOUNTAIN HOUSE PKWY
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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SA N J O A n I I I N Environmental Health Department <br /> COUNTY <br /> E. UNDERGROUND STORAGE TANK(S): <br /> TANK# # 1 # 2 # 3 it <br /> CAPACITY 30k 15k split 15k (split) <br /> MANUFACTURER Xerxes Xerxes Xerxes <br /> MODEL XE-30000 XE-30000 Split XE-30000 Splitjj <br /> COMPOSITION Fiberglass Fiberglass Fiberglass <br /> PRODUCT Reg. Unleaded rem. Unleaded Diesel <br /> Check Code <br /> Box Section <br /> HSC* <br /> ❑ 25290.1(c)(1) Tank(s) compatible with the substance to be stored. <br /> 25290.2(c)(1) <br /> 23 CCR** Design and construction of tank(s) and all other components used to construct primary <br /> 0❑ 2631(b) containmentsystem(s) approved by independent testing organization (e.9� UL). <br /> 23 CCR <br /> X❑❑ 2631(a) Secondary Containment Provided for Underground Storage Tanks. <br /> X❑ Buoyancy Calculations submitted and signed by a Professional Engineer which <br /> demonstrates a safety factor greater than 1.25. <br /> F. SYSTEM PIPING: <br /> Primaty <br /> PIPING MANUFACTURER MODEL ---][COMPOSITION <br /> PRODUCT PIPING NOV Fiberglass Systems 011020-069-1 Rigid Fiberglass <br /> VAPOR PIPING NOV Fiberglass Systems 011030-069-1 Rigid Fiberglass <br /> VENT PIPING NOV Fiberglass Systems 011020-069-1 Rigid Fiberglass <br /> Secondaty <br /> PIPING ::] MANUFACTURER MODEL COMPOSITION <br /> PRODUCT PIPING NOV Fiberglass Systems 011030-069-1 Rigid Fiberglass <br /> VAPOR PIPING NOV Fiberglass Systems 011040-069-1 Rigid Fiberglass <br /> VENT PIPING NOV Fiberglass Systems 011030-069-1 Rigid Fiberglass <br /> *HSC-Health and Safety Code <br /> **23 CCR-Code of California Regulations <br /> 6 of 8 <br />
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