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COMPLIANCE INFO_2004-2005
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_2004-2005
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Last modified
1/30/2023 2:30:02 PM
Creation date
6/3/2020 9:43:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2005
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2004-2005.tif
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EHD - Public
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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQ IN COUNTY <br /> a s Donna K. Heran, R.E.H.S. Unit Su ,mss <br /> Director 304 East Weber Avenue,Third Floor Carl Borgmari,R.E.H.S. <br /> N :< <br /> Al Olsen, R.E.H.S. Stockton,California 95202-2708 Mike Huggins, R.E.H.S., R.D.I. <br /> cq�,��R �P Program Manager Telephone: (209)468-3420 Douglas W. Wilson, R.E.H.S. <br /> Laurie A. Cotulla, R.E.H.S. Margaret Lagorio,R.E.H.S. <br /> Program Manager Fax: (209)464-0138 Robert McClellon, R.E.H.S. <br /> November 17, 2005 Website:www.sjgov.org/ehd/ Jeff Carruesco, R.E.H.S. <br /> MI Architectsl C I U 6 <br /> 2960 Camino Diablo, Suite 100 1 <br /> Walnut Creek CA 94597 (copy <br /> Re: 2575 Country Club Blvd., Stockton <br /> Your application for permit to install a new underground storage tank system at the above location has <br /> been approved with the following conditions: <br /> 1. Contact the fire department and the San Joaquin Valley Air Pollution Control District for <br /> applicable permits. <br /> 2. At least one person who holds the International Code Council (ICC) UST Installer/Retrofitter <br /> certification must be onsite when work is performed. <br /> 3. Any changes shall be submitted to EHD for approval prior to commencing work. All new <br /> submittals supercede the previous ones. <br /> 4. All piping, fittings, sumps, under-dispenser containment and tanks must be certified by an <br /> independent testing organization and labeled as required by the organization. (UL, ULC, ANSI, <br /> API, ASTM ect...See Title 23 Chapter 16 Table B for complete list) <br /> 5. All monitoring systems shall be listed on the LG113-16. <br /> 6. All testing shall be in compliance with manufacturer's instructions, section 2635 and section 2636 <br /> of California Code of Regulations (CCR) <br /> 7. All piping must slope to a containment sump with an audible/visual alarm. <br /> 8. All connections (shreader valves) from the vacuum on the piping to the vacuum source must be <br /> turned down in the piping sump. <br /> 9. All tank top openings, that are connected to the primary space of the UST must have secondary <br /> containment, audible/visual alarm and be vapor tight or terminate at grade. <br /> 10. Sumps and under dispenser containment must be constructed in a manner to prevent vapors from <br /> entering the backfill. <br /> 11. All secondary containment must be constructed to prevent water intrusion. <br /> 12. The secondary containment system must be continuously monitored as required under California <br /> Health& Safety Code (HSC) 25290.1 <br /> 13. Overfill prevention shall satisfy CCR 2635(b)(2)(B). <br /> 14. Underground storage tanks are to be anchored per the permit application. <br /> 15. The tank owner must submit the owner statement and name/ICC certification information for this <br /> facility's, "California UST System Operator"(Designated Operator)prior to the final inspection. <br /> 16. A "Certificate of Compliance for Underground Storage Tank Installation Form C" shall be <br /> submitted by the owner or the owners' agent [pursuant to California Code of Regulation (CCR) <br /> 2635(d)] before this upgrade will be considered complete by SJCEHD. <br /> Page 1 of 2 <br />
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