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COMPLIANCE INFO_2021
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0518624
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/8/2021 4:48:00 PM
Creation date
2/22/2021 2:00:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0518624
PE
2371
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
01
SITE_LOCATION
1630 E Hammer Ln
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Executive Order VR-201-Z and VR-202-Z <br /> Assist Phase II EVR System <br /> Exhibit 8 <br /> REQUIRED ITEMS IN CONDUCTING TP-201.3 <br /> For GDF installations using the FFS Clean Air Separator(CAS) proceed to Part A. <br /> For GDF installations using the ARID Permeator AT-150 (Permeator), proceed to Part B. <br /> PART A - REQUIRED ITEMS IN CONDUCTING TP-201.3 FOR CAS INSTALLATIONS <br /> The instructions below are required when conducting TP-201.3 for these systems. The tester <br /> shall document that each step was followed as indicated below and shall include this page of the <br /> Exhibit with the submission of TP-201.3 test results. Note that districts may require use of an <br /> alternate form to meet these requirements, provided the alternate form includes the same <br /> minimum parameters. <br /> 1. Prior to conducting TP-201.3, all four ball valves on the Healy Clean Air Separator <br /> (CAS) shall be closed, as shown in Figure 8-1 or Figure 8-1 H, to isolate it from the <br /> Underground Storage Tank (UST) system to permit the pressurization of the UST <br /> system. Figure 8-1 applies to vertical Clean Air Separator installations and Figure 8-1 H <br /> applies to horizontal Clean Air Separator installations. <br /> 2. Conducting TP-201.3 with any dispenser piping test valve in the closed position is not <br /> permitted. Any dispenser with a dispenser piping test valve in the closed position while <br /> conducting TP-201.3 will bias the test towards compliance. <br /> 3. After conducting TP-201.3, the four ball valves on the Healy Clean Air Separator (CAS) <br /> shall be locked in their normal operating positions as shown in <br /> Figure 2-2 or 2-2H, Exhibit 2 of Executive Orders VR-201 and VR-202. Figure 2-2 <br /> applies to vertical Clean Air Separator installations and Figure 2-21-1 applies to horizontal <br /> Clean Air Separator installations. <br /> Required Steps Verification <br /> (please circle) <br /> 1. All four Clean Air Separator ball valves closed before Yes No <br /> conducting TP-201.3 <br /> 2. All dispenser piping test valves open before conducting TP- Yes No <br /> 201.3 <br /> 3. All four Clean Air Separator ball valves in normal operating Yes No <br /> positions after conducting TP-201.3. <br /> Test Company: Facility Name: <br /> Print Name (Technician) Signature Date <br /> Technician Certification Number ICC or Expiration Date <br /> District Training Certification, as applicable) <br />
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