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SYSTEM INSTALLATION DOCUMENTATION FOR ENVIRONMENTAL <br /> YES No N/A MANAGEMENT GROUP <br /> 0 E] ❑ 1. TLS-350 system installed and located per drawings, <br /> operational and properly configured. <br /> E] E] 2. TLS-350 alarms have been tested and configured at their YES NO N/A State/ CUPA forms (formally A, B, and C) <br /> proper settings. F-1 ❑ Ej 1. Removal/Installation projects: Original to local agency, <br /> 3. All tank manhole covers opened for inspection of tank copies to Environmental Consultant for closure report. <br /> equipment and sump penetrations. Copies to Environmental Management <br /> E] n E] 4. Construction debris has been removed and the parking area F] ❑ 2. New Installation projects: Originals to local agency, <br /> cleaned and repaired satisfactorily. copies to Environmental Management. <br /> E] F 5. Damaged landscaping elements have been replaced or Underground Storage Tank Monitoring Plans: <br /> repaired. ❑ O E] 1. Contact designated agent assigned by SBC <br /> 6. Standby engine has been successfully tested after new Environmental Management to prepare UST Monitoring and <br /> tank cut-over. Response Plans. <br /> F 7. Air and water reels located per drawings. (Fleet locations) Spill Prevention, Control, and Countermeasure Plans: <br /> E] ❑ ❑ 1. Contact desiggnated agent assigned by SBC <br /> nvironmental Management to prepare SPCC plan if required. <br /> E] F1 E] 8. Seal at the dispenser mount bracket/island interface. %l above ground tanks over 660 gallon capacity, or LISTS <br /> with total aggregate capacity over 42,000 gallons.) <br /> E] [:] F1 9. Emergency shut-off switch located per drawings. (Fleet locations) Tank Testing Results: <br /> ❑ E] E] 1. Provide test results to local agency and SBC <br /> E] ❑ <br /> 10. Commodity tags installed on fill risers. Environmental Management, <br /> Closure Reports: <br /> ❑ [] E] 11. Manholes properly crowned. E] E] E] 1. Manifests and triptickets, Certificates of Destruction, Compaction <br /> reports, etc. to Environmental Consultant for inclusion in Closure Report. <br /> EJ E] E] 12. Field Inspection Final Acceptance Form signed by all parties. F] 2. Environmental Consultant to provide and mail copies of <br /> the closure report to SBC Environmental Management. <br /> 13. TLS Records Box and appropriate labels. <br /> E] E] Tank Chart (from Tank mfr.) <br /> 14. Applied EMCC furnished labels to TLS-350 panel. <br /> Send one copy of all documetation to: <br /> SBC Service, Inc. <br /> Mandatory. Environmental Management <br /> Mount tank chart copy and send original to 2600 Camino Ramon, Room 3E000 <br /> EMCC for lamination. San Ramon, CA 94583 <br /> LITERATURE (To be placed in a ring binder by contractor, clearly identifying each item. SVn below to fndlcate attendance of fk,al Inspection; sign again to Ind/cote f7wAL ACCEPTANCE of work after Final <br /> Outside cover to show job location and date as per sheet P-1 of drawing Inspectlm (eftner 1n Neld 1f no remedial work needed, or after rsmedlal work concluded. <br /> set.) One binder to be stored on site and one sent to SBC Environmental <br /> Management. ATTENDANCE FINAL ACCEPTANCE <br /> A. Manufacturers Warranty, Operation Manual/Maintenance Data Facility Engineer <br /> YES No N/A (list materials received) Facofly Manager <br /> e E] 1. Tanks (Tank chart & drawing by Mfr.) <br /> Site Manager <br /> 2. Sumps <br /> � E] EJ [-] Protect Manager <br /> 3. Sensors - <br /> ❑ Contractor <br /> F] EJ <br /> 4. Piping Consultant <br /> s E] 5. Pumps REVISIONS / AUTHORIZATIONS <br /> gEnvironmental Management <br /> w 6. Double containment piping system NO REVISIONS / AUMOR[zTiONS DATE BY <br /> 7. Wells <br /> ISSUED FOR BID 11/9/01 MED <br /> F8. Leak Detection Systems ISSUED FOR CONSTRUCTION 3/7/02 MED <br /> o E] ❑ ❑ 9. Other: <br /> a <br /> d B. Permits and Agency Correspondence PROPRIETARY SBC INFORMATION <br /> YES NO N/A <br /> NOT FOR GENERAL USE OR DISCLOSURE OUTSIDE OF SBC <br /> C 10. Copies of signed permits (Health Care Agency, County or City ENVIRONMENTAL MANAGEMENT UNDER EXEMPTIONS SET FORTH IN <br /> Fire Departments and Building departments, etc. as applicable) fHE CALIFORNIA PUBLIC RECORDS ACT. THIS INFORMATION MAY <br /> ONLY BE USED BY AUTHORIZED PERSONNEL OF THE LOCAL <br /> given to SBC Engineer 13OVERNMENT AGENCY IN CONNECTION WITH APPLICATION FOR <br /> PER ITS AND AUTHORIZATIONS FOR BUILDINGS, CONSTRUCTION, <br /> C. Test Results AND OR ONINO CHANGES. <br /> YES NO N/A DRAWINGS PREPARED FOR <br /> w <br /> ob [] [] F] 11. Fuel tests on fuel transferred from old underground storage tank <br /> E] n 12. Integrity Tank and Piping test results (TANKNOLOGY) _�" ENVIRONMENTAL MANAGEMENT <br /> o, <br /> E] n n 13. Test results sent to A.Q.M.D. - (Fleet Sites) & Environmental Management. PACIFIC REGION <br /> i f El 14. All test results given to SBC Environmental Management PROJECT TITZ <br /> E D. As-Built Documentation PACIFIC BELL FACILITY <br /> b <br /> M o YES NO N/A 10 EAST 12 STREET <br /> a a E] 15. Contractor has submitted accurately marked set of as-built drawings TRACY CALIFORNIA <br /> � to SBC Engineer. <br /> Ss, , <br /> TRACCA11 UE058 <br /> Sri <br /> SHEET TInE: <br /> EMERGENCY ROJECT CLOSESYSTEM <br /> OUT CHECK SHEETOR SUCTION <br /> ;e1�11i 1 1 ZUUZ 6'11MATE/ ROMNE ORDER: DATE 03/07/02 1 <br /> UP 354E DRAWN B<: SPr CHECKED IM MED <br /> a SDO ARNORITATION:CM sHEfT: 6 on 8 "DE <br /> s SHEET NO. <br /> �H@ui 1137 N. McDOW • BNG. PIETAC • IS A 94954 (70 365-1660 <br /> I�Ljjl�jL 1177 N. Md)OWELL BLVD. PETA.UMA, CA 94954 (70» 795-i88g SBC DRAWING NO.: <br /> GRAD. hK JOHN W. JOHNSON, ARCHITECT JAMES H. RAY, CML ENGINEER T R A C 11-01-01111 F8 <br />