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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 Welding Company, <br /> modem of Inc. modern <br /> www.modweldco.com <br /> Installation ff Checklist - Glasteel II Jacketed Steel Tanks <br /> OWNER OF TANK: �� s VC U.L. babel uU. -T?_[�N-0 <br /> OWNER'S ADDRESS: Y7417 W . CITY: J71 G/ZtL) <br /> STATE: 61�4 ZIP: SZI o <br /> TANK CAPACITY(GALLONS)_Izaao DATE INSTALLED: ze-L_- <br /> Special Note. If the Glasteel 11 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 prier to installation. Re-certification will be at the owner's <br /> expense. <br /> VACUUM RECORD <br /> RECORD VACUUM AT TIME OF DELIVERY ZS inches Hg <br /> DELIVERY DRIVER INITIAL CUSTOMER/INSTALLER INITIAL <br /> VACUUM JUST PRIOR TO INSTALLATION 7-5 inches Hg <br /> If the tank shows a loss of vacuum during installation,contact the above subsid ary. <br /> TANK HANDLING <br /> Equipment has sufficient ca acity and size to lift and lower the tank without dropping <br /> or dragging the tank? [* ES [ ] NO <br /> If the tank is being stored, is the storage area secure and free of foreign matter that <br /> would damage the tank surface? [ ES [ ] NO <br /> Has the stored tank heen chocked with a suitable non-ahrasive cushioning? [/YES [ ] NO <br /> INSPECTION <br /> No repairs shall be permitted without prio7-YyES <br /> tten approval from the above subsidiary. <br /> Has the tank exterior been inspected? [ [ ] NO <br /> Was any damage detected [ I YES 6/f NO If yes, and was the above subsidiary notified? [ ]YES [ ] 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? [v6ES [ZYES <br /> Has the tank interior been inspected to be clean and free of any debris? [ ] NO <br /> TESTING <br /> Has a tank tested tight in accordance with the"Glasteel II Installation Instructions". <br /> [vJ YES [ ] NO <br /> Have all local or state requirements been met? [l/(ES [ ] NO <br /> EXCAVATION AND BEDDING <br /> Is the excavation free of any material or object that may cause damage to the tank exterior? aYES [ ] NO <br /> Has the bottom of the excavation been suitably graded and a immum of 6 in. clean sand, pea gravel or <br /> crushed stone been installed to serve as bedding material? [VI [ ] NO <br /> Is the burial depth of the tank within its listed burial rating? {J] YES [ ] :VO <br /> Do burial depths meet the minimum installation code requirements? [t�YES [ ] NO <br /> Is <br />
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