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INSTALL_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0548106
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INSTALL_2022
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Last modified
10/5/2023 4:47:02 PM
Creation date
12/1/2022 9:44:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2022
RECORD_ID
PR0548106
PE
2351
FACILITY_ID
FA0027447
FACILITY_NAME
MOUNTAIN HOUSE CHEVRON
STREET_NUMBER
1124
Direction
N
STREET_NAME
INTERNATIONAL
STREET_TYPE
PKWY
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
1124 N INTERNATIONAL PKWY
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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TANK INSTALLATION CHECKLIST <br /> ) c — <br /> INSTALLIN6 TANKS (See Sections 5 and 7) TANK#7 - ANK # <br /> Record tank diameter measurement # 1 ( before installation ) 1232'' 2L 3 ` ' <br /> Record final backfill bedding depth under tank - inches or centimeters <br /> Record final tank spacing between tanks - inches or centimeters <br /> Record final tank spacing from tank endcap to excavation walls - inches <br /> or centimeters <br /> If applicable, deadmen used - factory-supplied or other <br /> If applicable, anchoring hardware - factory-supplied or other -, .�� 4 <br /> Record diameter measurement #2 ( after straps are installed ) <br /> Subtract diameter measurement #2 from #1 and record f 1 ' t 4 <br /> Deflection measurement meets Table 1 -6 requirements - yes or no <br /> Voids undertank between ribs and under domes filled with backfill ! <br /> and tamped - yes or no c IF <br /> i-: <br /> Backfill placement and compaction meet requirements - yes or noti <br /> Piping connections meet requirements - yes or no GS <br /> Fittings and other metal components are coated for corrosion <br /> protection - yes or no 5 c S <br /> Record diameter measurement #3 (after backfilling to top of tank is y <br /> complete) <br /> Subtract diameter measurement #3 from # 1 and record <br /> Deflection measurement meets Table 1 -6 requirements - yes or no , H <br /> LS <br /> Tank was ballasted prior to bringing backfill to top of tank - yes or no DIQc. c, <br /> After backfilling is brought to top of tank (See Sections 5, 6 and 8) <br /> t <br /> Tank was ballasted after bringing backfill to top of tank - yes or no <br /> rs <br /> Postinstallation tests were conducted for pressure-testable tanks - yes �? <br /> or no <br /> If applicable, optional hydrostatic test was performed - yes or no <br /> If applicable, containment sump test was successful - yes or no �S <br /> Record final depth of backfill over tank - give in inches or centimeters <br /> Record diameter measurement #4 ( after backfilling is brought to <br /> subgrade ) i 23 � h- <br /> Subract diameter measurement #4 from # 1 and record <br /> Final deflection measurement meets requirements of Table 1-6 - yes �G <br /> or no l $ S V <Jj <br /> If applicable, type of surface pad used - concrete or asphalt <br /> If applicable, thickness of surface pad used - give in inches or , � q <br /> centimeters and note which type 8 <br /> r, <br /> If applicable, record monitoring fluid level when backfilling & top slab q c r <br /> installation are complete <br /> i <br /> 38 XE RXES" ' <br /> BY SHAWCOR 1 <br /> E' <br />
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