COMPLIANCE INFO_1986-2001 - Laserfiche WebLink

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V( Piping (cross-sectional dim including connections to tank and dispensers). -Tr%57�r,�� (A) Vent and tank riser primaricainmenc system equipped with overfill potion system that: Restricts delivery of flow to tank CSection 2635 (b) (2) (B) or CC)], or Provide positive shut off of flow to the tank at no more than 95 % (Section 2635 (b)(2)(C)], or (B) vapor recovery piping designed so it cannot contain Liquid phase product, or (C) Suction piping (below grade piping operates at less than atmospheric pressure) CSection 2636 (a) (3)] Sloped so contents of the pipe will drain back into the storage tank if the suction is released. No valves or pumps installed below grade. / Inspection method provided to demonstrate compliance with section 2636 (a) (3). (0) Corrodible underground piping protected against corrosion (Section 2636 (b)). (E) Underground primary piping will meet all of the following requirements ✓/ Primary piping in contact with hazardous substance under normalopefation conditions shall be: installed inside a secondary containment system in the form of: ,,//secondary pipe_Vault or _lined trench to be sloped to a collection sump at the low point of the piping. V/ Primary piping and secondary containment systems will be installed in accordance with industry code of practice and voluntary consensus standards.. Lined trench used as secondary containment Material compatible with the substance stored. Covered and capable of supporting any expected vehicular traffic. (F) Underground piping with secondary containment will be equipped and monitored as follows: ✓/ Secondary containment will be equipped with a continuous monitoring system convected to an audible and visual alarm system. Automatic line leak detectors will be installed on pressurized piping Manufacturer: Model: _ Annual monitoring will be conducted an the pressurized piping with secondary containment. v/ Annual tine tightness test will not be required if the continuous monitor shuts down the pump and activates the alarm system when a release is detected and when the continuous monitoring system fails or is disconnected. State Water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. Plan review and operating permit fees paid. What is the approximate depth to ground water: 8 0 (include source of information - borehole logs, monitoring watt data, water studies, etc.) / SAaJ ?0,44 r.J Goyn2'i•, G2ct/)vIp t�r4Z-sYL i2cnPotZT — i q�{S v/ Total rxad)er of tanks on site after installation: !/ County/City Fire District and Building Department notified. In the event contamination is observed, confirmed or suspected as a result of a tanking UST system it is your responsibility Lin accordance with (CCR) Title 23, Division 3, Chapter 16, Article 11, Corrective Action Requirements] as an owner or operator to submit a workplan to PNS-EHD Site Mitigation Unit prior to initiating any ass or r7rator iation activities. For further assistance contact the Site Mitigation Unit at (209) 469-3450. T r must acknowledge this responsibility for workplan sLdufttat by signature and date below. i Title �cN DW? M�/+�C�L Date Z8 SQL q8 WITIOMS OF APPR -zy re' Owner Signature date