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INSTALL_2000
Environmental Health - Public
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DR MARTIN LUTHER KING JR
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2300 - Underground Storage Tank Program
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PR0231055
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INSTALL_2000
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Last modified
11/27/2019 3:44:46 PM
Creation date
11/27/2019 9:04:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2000
RECORD_ID
PR0231055
PE
2361
FACILITY_ID
FA0002321
FACILITY_NAME
Delta arco
STREET_NUMBER
440
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16503003
CURRENT_STATUS
01
SITE_LOCATION
440 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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VERIFIED BY: <br /> 1 . Actual vacuum level upon delivery: " <br /> If vacuum level is less than 7", <br /> see "Vacuum Trouble Shooting Instructions." <br /> 2. Was handling performed in accordance with <br /> IS, Section 5? Yes No <br /> 3. Was the tank off-loaded into the excavation, Yes No <br /> or was the tank stored per IS, Section 6? Yes No <br /> 4. Was an air test performed on the primary tank? Yes No <br /> 5. Was excavation size and preparation performed <br /> in accordance with IS, Sections 1 and 2? Yes No <br /> 6. Was bedding installed per IS, Section 3? Yes No <br /> What type of bedding was used? Sand_ Gravel_ <br /> 7. If holddown straps were used, was expansion joint <br /> material used between tank and holddown straps? Yes No <br /> 8. Was backfilling done in accordance with <br /> IS, Section 3? Yes No <br /> 9. Is job site in a known high groundwater area? Yes No <br /> 10. Tank capacity, UL number, and nozzle configuration <br /> have been verified. See IS, Section 4. Yes No <br /> COMMENTS: <br /> AFTER ALL OF THE ABOVE INFORMATION IS COMPLETED, PLEASE RETURN THIS <br /> INSTALLATION CHECKLIST TO TRUSCO TANK INC. THANK YOU. <br /> Installation Checklist page 2 of 2 Rev. 8/19/94 <br /> Trusco Tank Inc. . P.O. Box 11925 • Fresno, California 93775 . 209-264-4741 . Fax 209-237-341-3 <br />
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