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INSTALL_2013
Environmental Health - Public
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INSTALL_2013
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Last modified
3/11/2021 1:02:11 PM
Creation date
11/8/2018 10:22:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2013
RECORD_ID
PR0518624
PE
2371
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
01
SITE_LOCATION
1630 E Hammer Ln
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\H\HAMMER\1630\PR0518624\INSTALL PLAN 2013.PDF
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EHD - Public
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rCOTAINMENTNSUMP INSTALLATION CHECKLIST <br /> LUTIONS Inspection Procedure For Fiberglass Tank Sumps <br /> Complete this checklist and keep it with copies of any written authorizations for variations and/or deviations received from CSI. <br /> Site Owner Date of Installation <br /> Site Address <br /> Street City State Zip <br /> Installing Contractor <br /> Company Name Street City State Zip <br /> Yes NO <br /> 1. Did you follow the instructions described in the installation instructions? <br /> 2. Were all sump components inspected for damage prior to installation? <br /> 3. Did you prepare all joints per these instructions? <br /> 4. Were all joints cured a minimum of 24 hours without parts being disturbed or moved? <br /> 5. Will the sumps be exposed to high ground water? <br /> 6. Were the sump tops properly protected from traffic loads? <br /> 7. Was an approved backfill method used around and under the entire sump? <br /> 8. Were sump gaskets lubricated,clean, and undamaged? <br /> 9. Were all sumps tested for tightness?(check one below) <br /> ❑Vacuum test annulus ❑ Brine test annulus <br /> ❑ Fill sump with water ❑ Pressure test annulus <br /> Installation was in accordance with most recent CSI Installation Instructions Pub. No. INST 6034. <br /> Owner's Representative Print Date Contractors Representative Print Date <br /> Owner's Representative Signature Date Contractors Representative Signature Date <br /> 10 <br />
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