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r• 19. Piping (cross-section* agram, including connections to tank and nsers). (A) Vent and tank riser primary containment system equipped with overfill prevention system that: _ Restricts delivery of flow to tank [Section 2635 (b) (2) (B) or (C)], or Provide positive shut off of flow to the tank at no more than 95 % [Section 2635 (b)(2)(03, or (g) Z� Vapor recovery piping designed so it cannot contain liquid phase product, or (C) Suction piping (below grade piping operates at less than atmospheric pressure) [Section 2636 (a) (3)] _ Sloped so contents of the pipe will drain back into the storage tank if the suction is released. _ No valves or pumps installed below grade. _ Inspection method provided to demonstrate compliance with section 2636 (a) (3). Corrodible underground piping protected against corrosion (Section 2636 (b)). (E) ✓ Underground primary piping will meet all of the following requirements Primary piping in contact with hazardous substance under normal operation conditions shall be: installed inside a secondary containment system in the form of: ✓ secondary pipe Vault or _lined trench to be sloped to a collection sump at the low point of the piping. ✓ Primary piping and secondary containment systems will be installed in accordance with industry code of practice and voluntary consensus standards.. _ Lined trench used as secondary containment _ Material compatible with the substance stored. _ Covered and capable of supporting any expected vehicular traffic. (F) Underground piping with secondary containment will be equipped and monitored as follows: _ Secondary containment will be equipped with a continuous monitoring system connected to an audible and visual alarm system. _✓ Automatic line leak detectors will be installed on pressurized piping Manufacturer- y"—= r � M_ Model: T S P- ES _ Annual monitoring will be conducted on the pressurized piping with secondary containment. _ Annual Line tightness test will not be required if the continuous monitor shuts down the pump and activates the alarm system when a release is detected and when the continuous monitoring system fails or is disconnected. 20. _L�'/ State Water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. 21. '✓ Plan review and operating permit fees paid. 22. What is the approximate depth to ground water: (include source of information - borehole logs, monitoring well data, water studies, etc.) 23. _L�z Total number of tanks on site after installation: 24. _✓ County/City Fire District and Building Department notified. 25. in the event contamination is observed, confirmed or suspected as a result of a leaking UST system it is your responsibility [in accordance with (CCR) Title 23, Division 3, Chapter 16, Article 11, Corrective Action Requirements] as an owner or operator to submit a workplan to PHS-EHD Site Mitigation Unit prior to initiating any assessment or remediation activities. For further assistance contact the Site Mitigation Unit at (209) 469-3450. The owner or operator must acknowledge this responsibility for workplan submittal by signature and date below. Name Title Date CONDITIONS OF APPROVAL: e