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INSTALL_1991
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231963
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INSTALL_1991
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Entry Properties
Last modified
12/23/2019 2:55:51 PM
Creation date
11/7/2018 10:11:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
1991
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4040\PR0231963\1991 INSTALL .PDF
QuestysFileName
1991 INSTALL
QuestysRecordDate
7/27/2018 4:48:55 PM
QuestysRecordID
3949488
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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. UNDERGROUND TANK INSPECTION RECORD <br /> J� NEW TANK INSTALLATION <br /> SITE NAME ( I �^o * .[., INSPECTOR'S NAME <br /> /.JL/ t om^ Rey C,, Q, <br /> 5 / � <br /> ADDRESS 4a�ro ��0 � e CITY /�, /Jtiit� 21P .7 Q <br /> CONTRACTOR: NAME F PHONE (r�Q p� L1� �� —2 QL--L_ <br /> OWNER: NAME PG) PHONE \ G� d 62-3— �a I/-- <br /> DIS INSPECTOR'S I <br /> DATE PPR�OVEEDD PPROVED INITIALS <br /> co I V C� r� ITEM OR EQUIPMENT INSPECTED <br /> / .I J`: 1. Fees paid <br /> �b�ai/Q� / Plans Approved <br /> / INITIAL INSPECTION <br /> 1. UL numbers .� D <br /> � �+ c — tank size Q <br /> l���/ ✓ � � Tank tested upon deliv� y (Holiday (plasteel r air at 5 PSI ( RP)) <br /> ((71� `� Visual inspection of secondary contairment. <br /> IC � 5 � � . Tank appropriately plated with approved backfill. <br /> (PING STAGE INSPECTION <br /> /Z a 1. Pressure test of piping. (Primary and Secondary (NFPA 30)) <br /> !' >/ 2. Ball float valves ins tatted. <br /> 3. Overfill protection installed, describe: <br /> 4. Unused tank openin Seale nd eethodically protected. <br /> 5. Visual inspection of secondary containment on piping. <br /> 6. Moni ing its i plecg end broug t to g ade. (tocka le weather pro f covers) <br /> 7. Fill and vent piping brought to grade. <br /> 'rj�. 8. Product line leak detector in place. (Hard wired) <br /> 4'4 Flz� 9. Approved tank leak monitoring device installed. <br /> 10. All galvanized piping and fittings properly wrapped. <br /> q-1 11. Pressure decay test on complete tank and product delivery system�C- <br /> / INAL INSPECTION <br /> �— O- v T� 1. Precision test successfully Completed and hard copies received. (NFPA 329) <br /> 2. Spill protection at fill pipe. <br /> �Jy ✓ n— 3. Performance test of overfill protection system. <br /> 1// 4. Performance test of product line leak detector. (Hard wired) ' <br /> �"/ - // -� 5. Performance test of continuous monitoring system(s) on tank (s) <br /> 6. Permit to operate application complete. <br /> �(` d 7. Acceptable recordkeeping system. <br /> Comments- <br /> EH 23 006 yi�t�t <br /> / q' <br />
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