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SKJOAQUIN <br />—COU NTY— <br />Environmental Health Department <br />2. TO BE SUBMITTED PRIOR TO THE FINAL INSPECTION: <br />❑ <br />Complete to scale As -Built Plans <br />❑ <br />Complete Monitoring and Response Plan <br />❑ <br />UPCF Underground Storage Tanks - Installation Certificate of Compliance <br />(one form per tank) <br />❑ <br />Completed Underground Storage Tank Certification of Financial Respon ili <br />form along with any required attachments <br />F-1 <br />PassingLine Leak Detector Test Results � 00 <br />T_ z <br />❑ <br />Passing Line Tightness Test Results (Required if the UST system does n tisfg <br />�'�_ :�E <br />the California Code of Regulations 2636(g) for automatic pump shut-off. <br />z <br />w <br />❑ <br />Passing Enhanced Leak Detection ResultsZ <br />LU <br />00 <br />Cc <br />D. INSPECTIONS: <br />Z <br />&II <br />Note: <br />A representative from the San Joaquin County Environmental Health Department <br />must <br />witness all activities described below. <br />❑ <br />Tank holiday test (for fiberglass -coated steel tanks) performed prior to <br />installation in excavation <br />❑ Inspection of tank vacuum gauge (if applicable) prior to placement in excavation <br />❑ Tank soap test (for fiberglass tanks) performed prior to installation in excavation <br />❑ Verification of tank set and anchorage in excavation <br />❑ Primary piping including product piping, vapor recovery and vent line piping <br />soap and pressure test <br />❑ Secondary piping including product piping, vapor recovery and vent line piping <br />soap and pressure test <br />❑ 24 -Hour secondary containment lake test on sumps and under -dispenser <br />containment <br />❑ Piping Slope & cathodic protection prior to covering <br />❑ Overfill performance test <br />❑ Prior to receiving fuel, a complete functional test of tank and piping <br />monitoring system(s) including overfill prevention <br />❑ Final inspection and demonstration of automatic shutdown (if applicable). <br />5of8 <br />