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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACK TONE
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1501
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2020
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Last modified
3/4/2021 8:17:39 AM
Creation date
1/17/2020 11:56:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br /> 1 . Site map enclosed ? YES [$ NO [ ] <br /> 2 . Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing or testing any component that is repaired or replaced . Ensure a copy of the "Site Health and Safety <br /> Plan" is available on the jobsite as required by Title 8 . <br /> 3 . Detailed description of work to be completed . List components to be repaired or replaced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements . If repairing a component, describe how this will be done . ( If <br /> addin piping , UDC's, or other UST equipment, or performing tank top upgrade , use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> Dispenser 13 & 24 Satellite Bravo SB989 Repairs : <br /> Install Retro - Fit repair kits at all sump entries inside UDC 13 & 24 satellite <br /> UDC 13 : ( 4 ) 3 / 4 Electrical 4 Bolt - RF - 07 - 01 - U , ( 1 ) 3 " Product - RF - 30 - 01 - U <br /> UDC 24 ( Sat ) : ( 3 ) 3 " Product - RF - 30 - 01 - U , ( 1 ) 3 " Vapor - RF - 30 - 01 - U <br /> * Dispensers to be removed to access penetrations with - in UDC ' s & <br /> reinstall dispenser after completion . * <br /> 4 . List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval) : <br /> Bravo Retro Fit Sump Entry Repair Kits : <br /> UDC 13 : ( 4 ) 3 / 4 Electrical 4 Bolt - RF - 07 - 01 - U , ( 1 ) 3 " Product - RF - 30 - 01 - U <br /> UDC 24 ( Sat ) : ( 3 ) 3 " Product - RF - 30 - 01 - U , ( 1 ) 3 " Vapor - RF - 30 - 01 - U <br /> i <br /> i <br /> i <br />
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