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SANJOAQUIN <br />COUNTY <br />E. UNDERGROUND STORAGE TANK(S): <br />Environmental Health Department <br />TANK# <br />Code <br />COMPOSITION <br />Section <br />D <br />CAPACITY <br />HSC* <br />252901(c)(1) <br />Tank(s) compatible with the substance to be stored. <br />=VENT <br />25290.2 c 1 <br />D <br />MANUFACTURER <br />23 CCR <br />2631(b) <br />Design and construction of tank(s) and all other components used to construct primary <br />❑ <br />O <br />MODEL <br />23 CCR <br />2631(a) <br />Secondary Containment Provided for Underground Storage Tanks. <br />❑ ❑ <br />D <br />COMPOSITION <br />PRODUCT <br />demonstrates a safety factor greater than 1.25. <br />Check <br />Box <br />Code <br />MODEL <br />COMPOSITION <br />Section <br />VAPOR PIPING <br />HSC* <br />252901(c)(1) <br />Tank(s) compatible with the substance to be stored. <br />=VENT <br />25290.2 c 1 <br />xf <br />❑ <br />23 CCR <br />2631(b) <br />Design and construction of tank(s) and all other components used to construct primary <br />❑ <br />containments stem(s) approved by independent testing organization (e.g. UL). <br />❑ ❑ <br />23 CCR <br />2631(a) <br />Secondary Containment Provided for Underground Storage Tanks. <br />❑ ❑ <br />Buoyancy Calculations submitted and signed by a Professional Engineer which <br />demonstrates a safety factor greater than 1.25. <br />F. SYSTEM PIPING: <br />Primary <br />PIPING <br />MANUFACTURER <br />MODEL <br />COMPOSITION <br />PRODUCT PIPING <br />VAPOR PIPING <br />VAPOR PIPING <br />VENT PIPING <br />=VENT <br />xf <br />Secondary <br />PIPING <br />MANUFACTURER <br />MODEL COMPOSITION <br />PRODUCT PIPING <br />VAPOR PIPING <br />=VENT <br />xf <br />'HSC -Health and Safety Code <br />** 23 CCR- Code of California Regulations <br />6 of 8 <br />e an— <br />JUN (, 5 2018 <br />ENVIRONMENTAL NT HEALTH <br />DEP <br />