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COMPLIANCE INFO_2023
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232482
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/11/2023 12:25:39 PM
Creation date
7/26/2023 9:05:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0232482
PE
2351
FACILITY_ID
FA0003719
FACILITY_NAME
WEST LANE CHEVRON
STREET_NUMBER
4747
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10437010
CURRENT_STATUS
01
SITE_LOCATION
4747 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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modern Modern Welding Company, modern <br /> Of , Inc. <br /> www.modweldco.com <br /> Installation Checklist - Glasteel II Jacketed Steel Tanks <br /> OWNER OF TANK{ vU.L. Label No. <br /> `t� <br /> OWNER'S ADDRESS: 7 f.J 3 -- CITY: <br /> STATE: CA ZIP: <br /> TANK CAPACITY(GALLONS)_Z.0_C?qz (`7 DATE INSTALLED: T.a ZZ <br /> Special Note: If the Glasteel II tank has not been installed within 90 days of delivery from the manufacturer, it is <br /> required that the tank be re-certified by the manufacturer prior to installation. Re-certification will be at the owner's <br /> expense. <br /> VACUUM RECORD <br /> RECORD VACUUM AT TIME OF DELIVERY inches Hg <br /> DELIVERY DRIVER INITIAL CUSTOMER 1 INSTALLER INITIAL <br /> VACUUM JUST PRIOR TO INSTALLATION -�7_ inches Hg <br /> If the tank shows a loss of vacuum during installation,contact the above subsidia _ . <br /> TANK HANDLING <br /> Equipment has sufficient acity and size to lift and lower the tank without dropping <br /> or dragging the tank? [A j Y-S [ ] NO <br /> If the tank is being stored, is the stYYES <br /> a area secure and free of foreign matter that <br /> would damage the tank surface? [ ] NO <br /> Has the stored tank been chocked with a suitable non-abrasive cushioning? [/YES [ ] NO <br /> INSPECTION <br /> No repairs shall be permitted without prior written approval from the above subsidiary. <br /> Has the tank exterior been inspected?INO <br /> ES [ ] NO <br /> Was any damage detected [ ]YES [ f yes, and was the above subsidiary notified? [ ] YES I ] NO <br /> Have shipping plugs and thread protectors been removed from all openings (excluding vacuum gage location) <br /> and permanent metal plugs installed in the unused openings? [,/}AYES [ ] NO <br /> Has the tank interior been inspected to be clean and free of any debris? [�S [ ] NO <br /> TESTING <br /> Ha�,;he tank tested tight in accordance with the"Glasteel ii Installation Instructions". <br /> [vl YES I ] NO <br /> Have all local or state requirements been met? V/1y,'ES [ ] NO <br /> EXCAVATION AND BEDDING <br /> Is the excavation free of any material or object that may cause damage to the tank exterior? [/ES [ ] NO <br /> Has the bottom of the excavation been suitably graded anda nimum of 6 in.clean sand, pea gravel or <br /> crushed stone been installed to serve as bedding material? [VYE [ ] NO <br /> Is the burial depth of the tank within its listed burial rating?JT_YES [ ] NO <br /> Do burial depths meet the minimum installation code requirements? [VYES ( ] RTO <br />
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