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INSTALL_2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0541906
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INSTALL_2019
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Entry Properties
Last modified
4/4/2023 4:03:26 PM
Creation date
12/13/2018 4:57:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2019
RECORD_ID
PR0541906
PE
2351
FACILITY_ID
FA0024040
FACILITY_NAME
MANTECA CHEVRON
STREET_NUMBER
1245
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1245 N MAIN ST
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN JOAQUIN <br />COUNTY— <br />C. REQUIRED SUBMITTALS <br />Environmental Health Department <br />The following information shall be submitted to San Joaquin County Environmental Health <br />Department prior to an installation plan review: <br />if�t�l3 I01401�%i7:I171g[oT10813 <br />❑ San Joaquin County EHD Service Request Form and Fee Sheet <br />❑ Completed Underground Storage Tank System Installation Permit application <br />❑ Completed: UPCF Underground Storage Tanks - Facility form (A); UPCF <br />Underground Storage Tanks (B) -Tank (one form per tank) <br />❑ Manufacturers' cut sheets for tanks, piping, and equipment (e.g. monitoring <br />equipment, overspill containment device, overfill protection device, dispenser pan, <br />etc.) <br />❑ Buoyancy calculations signed by a Professional Engineer <br />❑ 3 -sets of plans of the facility and underground storage tank system along with <br />specifications on all materials to be used in construction <br />❑ Payment of appropriate permit fees <br />DRAWINGS SHALL INCLUDE THE FOLLOWING: <br />❑ Plans must be drawn to scale in non -erasable ink <br />❑ Tank cross-sectional drawing <br />❑ Detail of tank, associated piping, excavation and cover <br />❑ Plot plan to show location of tanks and all associated piping <br />❑ Striker plates or drop tube -mounted bottom protectors illustrated below all <br />accessible openings <br />❑ Under -dispenser containment connections <br />❑ Detail of secondary containment installed for all unused tank opening that are <br />connected to the primary space of the UST <br />❑ Detail of sumps and under -dispenser containment to demonstrate vapor tightness <br />❑ Detail of system that demonstrates it is impervious to water intrusion. <br />❑ Overfill prevention system <br />RE . t <br />❑ Location of all monitoring equipment <br />JUfti 9 5 2018 <br />❑ Location of water wells, septic systems, and storm drains. <br />4of8 ENVIRONMENTAL HEALTH <br />DEPAI TMENT <br />
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