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INSTALL_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0547997
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INSTALL_2022
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Last modified
9/26/2024 2:47:16 PM
Creation date
12/5/2022 11:23:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2022
RECORD_ID
PR0547997
PE
2351
FACILITY_ID
FA0027375
FACILITY_NAME
GRAPPA MARKET SHELL
STREET_NUMBER
704
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
25966077
CURRENT_STATUS
01
SITE_LOCATION
704 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
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EHD - Public
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L I XERXES" Buoyancy Calculation <br /> making a lasting difference® Request Form <br /> Project name: <br /> Ripon <br /> Customer: Contractor: <br /> Contact: <br /> Jay Boston Contact: Tim Budniewski <br /> Phone : 714 812 8182 Phone: 6194176660 <br /> Fax/Email : <br /> Jay@bostonmcdermott. com Fax/Email : tim . budniewski@nwpump . com <br /> E <br /> F <br /> } G <br /> B <br /> C <br /> 1 <br /> :AAs.., �i :, •. No. 42,618 <br /> Check here for Canadian tanks: ❑ Imperial Metricto <br /> �OF <br /> A Anchoring : ✓❑ No secondary anchorage, OR: <br /> If deadmen are used : ❑ ZCL ( Xerxes supplied , OR ❑ Supplied by others . <br /> • For deadmen supplied by others : Thickness : in x Width : in x Length : ft <br /> If bottom anchor slab is used : Thickness: in x Width : in x Length : ft <br /> B Water table (note: you must select one of these 3 options): <br /> Level with top of tank, OR ❑ At finished grade level <br /> ❑ Level with middle of tank, OR ✓� <br /> C Tanks description : <br /> Nominal tank diameter: 10 ft Nominal tank capacity: 22000 gallons <br /> ❑ Single-walled tank, OR ❑ Double-wall tank, OR F✓ Double-wall tank (wet interstitial space) <br /> For multicompartment fuel tanks, capacity: x 16k x 6k gallons <br /> D Total depth of top of tank (includes soil & top slab): 4 ft in <br /> E Top slab (if any): ['&/] Concrete, OR ❑ Asphalt Thickness : 8 in <br /> F Containment sumps/risers/extensions (indicate quantity. and diameter) : <br /> 2 2-42 <br /> .-22 " Dia; -24 Dia; -30 Dia; -36 Dia; -48 Dia; -Other Dia <br /> G Tank backfill material : peagravel - <br /> Additional comments: <br /> Please send completed form to: Email eng .support@zcl.com Fax 780.466.9801 3uly 1013 <br /> Attn: Technical Support Note: One Form Per Tank. <br />
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