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COMPLIANCE INFO_FILE 10
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231945
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COMPLIANCE INFO_FILE 10
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Last modified
11/30/2022 1:15:02 PM
Creation date
6/3/2020 9:55:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
FILE 10
RECORD_ID
PR0231945
PE
2361
FACILITY_ID
FA0003934
FACILITY_NAME
Lawrence Livermore National Lab - Site 300
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231945_15999 W CORRAL HOLLOW_FILE 10.tif
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EHD - Public
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i <br /> Installation Checklis Tank Jacket"" <br /> Prior to installation read the installation instructions thoroughly. As the Tank Jacket installation progresses, <br /> initial each of the items below as they are complete. Failure to complete and return this checklist <br /> shall prevent issuance of tank warranty. <br /> The following information is to be completed by the Certified Installation Supervisor. <br /> INSTALLATION DATE SITE OWNER <br /> COAL1206) .96&iA 6A ;K <br /> 1 i � <br /> INSTALLER COMPANY NAME <br /> CERTIFIED INSTALLATION SUPERVISOR SITE ADDRESS <br /> 9744IM—i-P <br /> 1. Handling: Lifting lugs were used and tank was not damaged. <br /> 2. Site Storage: No evidence of scrapes, holes or drag marks. <br /> 3. Pre-installation Testing: (Initial only if applicable) <br /> A. Tank maintained minimum 4 inches Hg.(vacuumeye <br /> NB. 1 p.s.l.air-pressure soap test was performed(onif vacuum is not maintained) <br /> 4. Bedding and Backfill - (Initial A or B) <br /> A. Pea Grave-per TCI specifications <br /> B. Sand-per TCI specifications --- <br /> 5. Excavatlon Size: Per TCI specifications <br /> 6. Excavation Preparation: Excavation was smooth and clean of debris L <br /> 7. Backfilling: Backfilling was carefully done and no evidence that the tank was struck by the <br /> tamping bar <br /> 8. Anchoring: Flat metal straps with strap cushions were used to anchor tank — <br /> 9. 3/4 Backfill Testing - (1 psi air pressure test performed only when vacuum is not maintained) s_ <br /> 10. Monitoring Standpipe: Vacuum Assembly was removed and a 1-1/2" diameter PVC <br /> standpipe was installed. <br /> T <br /> TOT AL TM <br /> After all the information above is complete, mail TOTAL CONTAINMENT, INC. <br /> CONTAINMENT this Installation Checklist to Total Containment, 3wcomrrwceDrive -Exon. Penna 19341 <br /> Inc. using the pre-addressed envelope provided. Phone:215-524-9274* FAX: 215-524-7530 <br />
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