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COMPLIANCE INFO_2014-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2014-2015
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Last modified
8/4/2021 4:36:01 PM
Creation date
6/23/2020 6:57:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2015
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2014-2015.tif
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EHD - Public
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MEL <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> 1. Site map enclosed? YES W NO [] <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health and Safety <br /> Plan" is available on the jobsite as required by Title 8. <br /> 3. Detailed description of work to be completed. List components to be repaired or replaced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a component, describe how this will be done. (If <br /> adding piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> Replace the existing siphon piping penetration in T-3 piping sump. <br /> Supply and install an additional piping and an additional electrical penetration fitting in T-3 piping sump. <br /> Replace the three existing steel annular space risers on T-1, T-2, and T-3 (the three diesel tanks)with <br /> AO Smith fiberglass risers. <br /> Supply and additional product piping and electrical penetration fittings in the T-1 piping sump. <br /> AIX <br /> 9;�a f16qkT,, <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> Diversified Repair Penetration Fitting (Part #RBK 8-2 . 5) <br /> Diversified repair penetration part#RBK 8-2.5& RBK 4-1.1 R <br /> AO Smith 4" Fiberglass Pipe (Part#011040-191-4)&AO Smith 4" Bell X Male(Part#012040-191-4) <br /> AO Smith Adhesive Kit(Part#02990-000-1) <br /> 3 <br />
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