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COMPLIANCE INFO_1997
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231382
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COMPLIANCE INFO_1997
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Last modified
6/9/2020 8:56:06 PM
Creation date
6/3/2020 9:48:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1997
RECORD_ID
PR0231382
PE
2361
FACILITY_ID
FA0004139
FACILITY_NAME
Plaza liquor and Gas
STREET_NUMBER
2420
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2420 W TURNER RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231382_2420 W TURNER_1997.tif
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EHD - Public
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=TOTAL= <br /> CONTAINMENT <br /> • <br /> OMNIFLEX TM INSTALLATION CHECKLIST No. <br /> Prior to installation,read the instructions thoroughly.As the Omniflex installation progresses,initial the items below <br /> upon completion. <br /> Distributor: Date of Installation: <br /> Contractor: Location: <br /> Address: Address: <br /> 1. PRE-INSTALLATION INSPECTION: <br /> All pipe and pipe components were inspected for damage that may have been <br /> incurred in shipping and handling. <br /> 2. TRENCHES: <br /> A. Bedded minimum 6"pea gravel,sand or other prior TCI approved material. <br /> B. All trenches slope back to sump 1/8"per foot. <br /> 3. TANK SUMP INSTALLATION INSPECTION(INSTALLED IN ACCORDANCE WITH INSTRUCTIONS]: <br /> Type of Tank Sump used: <br /> TCI Tank Sump installation instructions followed. <br /> 4. DISPENSER SUMP INSTALLATION INSPECTION: <br /> • Type of Dispenser Sump used: <br /> TCI Dispenser Sump installation instructions followed. <br /> 5. PRIMARY PIPE INSTALLATION INSPECTION: <br /> A. TCI Omniflex coupling assembly procedures were adhered to during <br /> attachment of coupling to primary pipe. <br /> B. TCI Coupling Machine was used and inspected for proper expansion <br /> diameter prior to use. <br /> C. MolyKote Gn metal assembly paste was applied or redistributed on TCI <br /> Coupling Machine mandrel before each coupling procedure. <br /> D. Omniflex primary pipe was installed and air pressure tested to 60 psi,or <br /> dealer specs,with the following components soaped and inspected for <br /> leaks: single adaptors,"Y"fittings,tees,90's,couplings,and all other <br /> threaded joints(includes testing equipment). <br /> 6. INTERSTITIAL SPACE TESTING INSPECTION: <br /> A. Test Boots,Nylon Flow Tubes,and Nylon Test Tubes were in place. <br /> B. 5 psi air pressure test was performed on the interstitial space. <br /> 7. BACKFILLING: <br /> A. Tank Sump and Dispenser Sump bases were all adequately backfilled and <br /> voids tamped and checked for maximum base support. <br /> B. All pipe spacing and slope was maintained during backfilling. <br /> C. Pressure on the primary and secondary pipe was maintained through <br /> backfilling and paving process. <br /> B. SIGNATURES: NAME(PLEASE PRINT] SIGNATURE DATE <br /> Installation Contractor <br /> Certified Omniflex Installer <br /> Inspector/Regulatory Official <br /> Site Owner's Representative <br /> Warranty becomes effective lon and return of checklist and Site Layout to Total Containment, Inc. <br /> REV1095 <br /> Return to TCI with Site Layout Sheet <br />
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