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19. <br />20. <br />21. <br />22. <br />23. <br />24. <br />25. <br />Piping (cross-sectional diagram, including connections to tank and dispensers). <br />(A) Vent and tank riser primary containment system equipped with overfill prevention system that: <br />Restricts delivery of flow to tank lSection 2635 (b) (2) (8) or (C)I, or <br />Provide positive shut off of flow to the tank at no more than 95 % (Section 2635 (b)(2)(C)I, or <br />(B) Vapor recovery piping designed so it cannot contain liquid phase product, or <br />(C) Suction piping (below grade piping operates at less than atmospheric pressure) (Section 2636 (a) (3)I <br />Sloped so contents of the pipe will drain back into the storage tank if the suction is <br />released. <br />No valves or pumps installed below grade. <br />Inspection method provided to demonstrate compliance with section 2636 (a) (3)'. <br />(D) ✓/ Corrodible underground piping protected against corrosion (Section 2636 (b)). <br />(E) ✓ Underground primary piping will meet all of the following requirements <br />Primary piping in contact with hazardous substance under normal operation conditions shall be: <br />installed inside a secondary containment system in the form of: ✓secondary pipe ---Vault or <br />_ lined trench to be sloped to a collection sump at the low point of the piping. <br />V1 Primary piping and secondary containment systems will be installed in accordance with industry <br />code of practice and voluntary consensus standards.. <br />Lined trench used as secondary containment <br />Material compatible with the substance stored. <br />Covered and capable of supporting any expected vehicular traffic. <br />(F) Underground piping with secondary containment will be equipped and monitored as follows: <br />Secondary containment will be equipped with a continuous monitoring system connected to an audible <br />and visual alarm system. <br />_✓ Automatic line leak detectors will be installed an pressurized piping <br />Manufacturer:/ 6L- 2: o— Model: PL- .-. <br />✓ Annual monitoring will be conducted on the pressurized piping with secondary containment. <br />Annual line tightness test will not be required if the continuous monitor shuts down the pump and <br />activates the alarm system when a release is detected and when the continuous monitoring system <br />fails or is disconnected. <br />✓ State water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. <br />v**� Plan review and operating permit fees paid. <br />What is the approximate depth to ground water: 2�J <br />(include source of information - borehole logs, monitor,4ng well data, water <br />studies, etc.) <br />V Total number of tanks on site after installation: <br />✓ county/city Fire District and Building Department notified. i' v j WO <br />V/ In the event contamination is observed, confirmed or suspected as a result of a leaking UST system it is your <br />responsibility (in accordance with (CCIZ) Title 23, Division 3, Chapter 16, Article 11, Corrective Action <br />Requirements) as an owner or operator to submit a workplan to PHS-EHO Site Mitigation Unit prior to initiating any <br />assessment or remediation activities. For further assistance contact the Site Mitigation Unit at (209) 469-3450. <br />7,; , -iowtedge this responsibility for workpLan submittal by signature and date be I ow. <br />Date LO 6 <br />1ZA <br />r <br />i11 " I"POW- 01,W <br />ONJirl."s1i,.' <br />