HomeMy WebLinkAbout2012 MINOR MOD FILEHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 37 4-z Address: -SZ '-i& s7
Bakersfield, A 933
Date Received: ?_ _ Z
Business Name: ,4 -
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other:
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
6 -/ie /2 6", 1 %so
Signature
Signature
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK Prevention Services
2101 H Street
PERMIT APPLICATION a P D Bakersfield, CA 93301
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW IB1 Phone: 661 - 326 -3979 •Fax: 661 - 852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Aafa1 f
Page 1 of 1
Permit #
TYPE OF APPLICATION: NEW TANK INSTALLMEW FACILITY NEW TANK INSTALVEXISTING FACILITY
CHECK ONE ONLY) KXD6 MINOR MODIFICATION OF FACILITY
STARTING DATE/ PROPOSED COMP DATE
F ILITY NAME ^
Ci
EXISTING FACILITY PERMIT #
FACILITY D 5 1h
F
CITY
I.6ISA
ZIP ODE
TYPE O BUSINESS /
b"/ to
APN #
TANK OWNER
KK//'/
1
PHO C-/_ 17 //
D/EADD
f
ml 12 lgpi i 2m 7CGNTRA6
CITY / n
CE
ZIP N lJ
CO
4- (/' / 2-Al% / q #0c % IJ 2 ,, , •-
ADDRESS
0 5
C ZIP CODE
D
P NE BAKFRSFIELD CITY BUSINESS LICENSE # WRJANS CYOOMM,PQ# ^ /O
INSURER
40BRIEFLYDESCRIBETHEWORKTOBEDONE: -%Q vs E%
SGfr /Y
lk/24" E(/1 d 2 10 7,-ao iu r rk 4/L
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOILTYPE EXPECTED AT SITE
OFTANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL?
YES NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER
Tank Testing Company
NAME OF TESTING COMPANY PHONE NUMBER
MAILING ADDRESS
NAME OF TESTER ICC#
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS
PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER
PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER T;;2*
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ON
DATE APPROVED APPROVE
UZueso (Kev uu /uv)
L ,
UIL.L.IN%3 61 rCKMI 1 b 1 A 1 t:M LN " " " " " " " ":';1: - bAKtKbr1tL0 FIRE DEPAR 1 IVICIV 1
e n' $ a s a , Prevention Services
t u . F/B6 '!I) PERMIT # djRWr 2101 H Street
q Bakersfield CA 93301
Phnna - Fav• FA,1 -R57 -2171
Please make checks Payable to CRTY OF SAKERSFIEfL.D. Thank you. I, K" 1
I
Alarm - New & Modification (minimum charge)
INFORMATION
TOTAL!' TREASURY
DUE ACCT NO
LOCATION OF PROJECT P OPERTY OWNER A c. n
G %C2c %1 Y iG cr/, `/ (/1 6i
STARTING DATE COMPLETION DATE NAME
PROJECT NAME
Iq - ¢
ADDRESS PHONE#
PROJECT ADDRESS
280
ZIP CODE
CONTRACTOR INFORMATION:
CON PACT R NAME CA LICENSE # ONTYPEOFLICENSEEXPIRATI DATE HONE
CUM CTOR COMPANY NAME FAX #
Sprinkler — Minor Modification ( <10 heads)
ADDRESS _ /
E
IDC n ZIP -ODE
Please make checks Payable to CRTY OF SAKERSFIEfL.D. Thank you. I, K" 1
I
Alarm - New & Modification (minimum charge) 280
TOTAL!' TREASURY
DUE ACCT NO
Over 10,000 sq ft 0 .028 x sq ft
Sprinkler - New & Modification (minimum charge) 280
Over 10,000 sq ft 0 .028 x sq ft
Sprinkler — Minor Modification ( <10 heads) 96 (inspection only) 84
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
470
58 hood
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
Spray Booth (New & Modification) 470
98
Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 82
Additional Tank ATI 96 /tank 82
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank 82
Underground Storage Tank (Installation /Inspection) NI 878 /tank 82
Underground Storage Tank (Modification) MOD 878 /site 82
br- Underground Storage Tank (Minor Modification) MTM 167 /site 82
CALIFORNIA HAZARDOUS SERVICES INC.
2205 S. YALE ST
SANTA ANA, CALIFORNIA 92704
714) 434 -9995
BANK OF AMERICA, N.A. 44887
16- 66/1220
FA
DATE 2 7 -!Z
AMOUNT
e
PAY
TO THE
ORDER
4- U
r
AUTHORIZED SIGNATURE
11.04488711• -1: 12 2000 66 L1: 06905lo' 2678611•
CERTHOLDER COPY
SC
P.O. BOX 420807, SAN FRANCISCO,CA 94142 -0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 01 -01 -2012
CALIFORNIA HAZARDOUS SERVICES, INC SC
2205 S YALE ST
SANTA ANA CA 82704
GROUP: 000238
POLICY NUMBER 0004698 -2011
CERTIFICATE IQ: 73
CERTIFICATE EXPIRES: 01 -01 -2013
01 -01- 2012/01 -01 -2013
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by theCaliforniaInsuranceCommissionertotheemployernamedbelowforthepolicyperiodindicated.
This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or after the coverage afforded
by the policy fisted herein. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy.
Authorized Representative President and CEO
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT 01600 - BELINDA BAIN, PRIES - EXCLUDED.
ENDORSEMENT 01600 - RON BAIN, VP,SEC,TRES - EXCLUDED.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01 -01 -2009 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
CALIFORNIA HAZARDOUS SERVICES,INC SC
2205 S YALE ST
SANTA ANA CA 92704
1B12,SPI
IREV.8- 201 D)
PRINTED : 01 -13 -2012
February 1, 2012
Belinda Bain
California Hazardous Services, Incorporated
2205 South Yale Street
Santa Ana, CA 92704
Re: Barrett Business Services, Inc. ( "BBSI ')
Letter of Self- Insurance for Workers' Compensation Coverage
As the named addressee of this Letter, your company's required workers' compensation coverage is
provided through BBSI's state approved Self - Insured Workers' Compensation Plan by way of your
co-employment contract with BBSI_ BBSI's California customers can also verify BBSI's state
certification at _ ; click on "Self Insured Employers "; then click on "Roster';
then scroll down to Barrett (the list is alphabetical by company name). Additional information is as
follows.
Self - insurance Certification Number:
California
Oregon:
Washington:
Delaware:
Maryland:
Colorado:
2246
1068
706.116
152
11365
463
Additionally, BBSI's self- insured program is further supported by an excess workers' compensation
insurance policy with National Union Fire Insurance Company of Pittsburg, PA. A copy of certificate
is available upon request.
For additional information, please contact your local BBSI office at (949) 255 -5322.
Very truly yours,
Michael L. Elich
President and Chief Executive Officer
BBSI Office: SANTA ANA
doc: LOST -2
1936 East Deere Avenue, Suite 210 Santa Ana, California 92705 949.255.5322 Fox 949. 255.5332 www.barrelibusiness.com
CERTIFICATE OF LIABILITY INSURANCE [--sue Late:
PRODUCER THISCERTIFICATEISISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 11PONTHECERTWICATEHOLDER.
Ran Graybeal THSCERTIFICATEDOES NOTAFFIRMATIVELYOR NEGATIVELYAMEND. EXTENDORALTER THE COVERAGE AFFORDED BY THE
Beecher Carlson Insurance Agency POLVESDIELOW. THISCERTIFICATEOF INSURANCE DOES NOTCONSTITUTEACONTRACT BETWEEN THEISGUING INSURER(S).
220 NW2ndAvertue, Suite800 AUTVIORUED REPRESENTATIVEOR PRCCLXXR. AND 7H£ CERTIFICATE "OLDER.
PortlaW.OR97209 -3551 RAPORTANr Ualecolftd1twk WisanADDITIONALINSURED .QIePdkVDea)n.mbeendased. 9SLWMGATwNisVVAIVED.SLAect
oteWQ endeoeugimsofVw Roticy, eetainpORies TetTIJ"sxyn ertlorfenartL A statefRmimthis "Mficete doesnot cmfer 601*5
tothe catkate holder n kv ccuITA SL
COlPANIE3AFFORDINGCOVERAGE
COMPANY
LETTER A Nahana3 Union Fire Insuranoe CompanyINSURED
Barrett Business Services, Inc. COWANY
8100 NE Parkway, Suite 200
Vanoarver, WA 98662
LETTER B
COMPANY
LETTER C
fCCUPANY
ETTFR D
ICOMIRANY
LEITER E
COVERAGES
TH;S IS I`0 CERTIF( THAT THE FOLJCIE-SOFMSURAtJCE LISTEDBELpN HAVE aEm ISSUEDTOTHE NSURFDNAMEDABOJEFORTHE POLICYPERIOD INDICATED- NOVAMSTANDIrJG ANYRCUUtREMEA7. TERM
OR CCYJDMGNOF ANYCGRRRACTOF aMERCOCUM84T WITH RESPECT TO "Wh THISCERTICMTEMAYBEM'XIM OR WAYPERTAIN., TI-ir INSURiWCEAFFORDED BYTHEPOLICIES DESCRIBEONEREIN IS
SUBJECTTOA(L THETEMS, EXCUJSCR*SANDCONQ/nQ1SOFSUCHPWCFS. LMM 84MN MAYHAVEBEEN REDUCED BYPAM CLAIM,
co POLICY EFFECTIVE EXPIRATION
LTR TYPE OF INSURANCE NUMBER DATE DATF -
GENERAL LIABILITY GENERAL AGGREGATE SOULJO(X
O COMMERCIALGENERALLIABILITY Pdiry Etlecizve Ep,. im PRODUCTS+COWJOPSAGGRE(3ATE
QCtAIMSMADE [=IDCCUR N nnt— Date Data PERSONAL BADVERTISINGINJURY
OVtNER & CONTRACTORS PROT. EACHOOCURFIENM XXX
FIRE DAMAGE (Aryaae fire)
MEDICAL EXPENSE Wy mtyemnj XXX
AUTOMOBILELIABILITY
ANY AUTO COMBINEDSINGLE LSAT
ALL O'JttJEDAUTOS BODILY INAJ (Perpmon)
SCHEDULE ALITO6 BODILY INJURY (perecddud) X
ICRED AUTOS PROPERTY DAMAGE
NOIIONPJED AUTOS COLLISION DEDUCTIBLE
GARAGE LMILITY COMPREHENSVEDEDUCTIBLE vmLXXX
EXCESS LIABILITY
Q UMBRELLA FORM AGGREGATE
aXxxaax
Q OTHER THAN UMBRELAFORM
WORKERS COMPENSATION 815 000 000 "WT
A AND S2000.Q00 ENCHACCIDENT)
EMPLOYERS LIABILITY 91t]B(l8 171(1-72 1!112013 .000,000 (DQSEASEFOLJL,' LIAUT
2, (CMEhaEEACH EMPLOYEE?
OTHER
Covered stairs- CA, DE. OR, WA
IIDESCRIPTIONOFOPERATIONSILOCATIONSAADWLES {AUach ACORD 1(1, AddMonal RemarksSctmdule, IfmomSpace Is required)
Limits shown areabove a 85.000,000 self -mured Telentlan.
CERTIFICATE HOLDER CANCELLA710N
Thissection mtealtionaBY left plank
LDANY OFTHEAACUF DFSa+mED POLICIESBEUNCEUEDJIEFORETHEOIPRATIONDATE
EREOF, NOTICEwiLL BE DEMIEREDPIACCORAKCIEVOTH THE POLICYMMMS O11S.
RylwarAnr.
Gidjoeal, Cln', APH .
State Of Caiikinia
c[°
q-,CONTRACTORS STATE LICENSE BOARD J' _
ll ACTIVE LICENSE
Afters
734854 CORP
CALIFORNIA HAZARDOUS
SERVICES INC
04/3012013 www- csib.ca.gvv
STATE OF''(2-ALIFORNIA
PLjr-ujnt to chapter, Of, ti' O 61.15iness smd Profes';Jons 0t1EL.
J (i the Pulaf, am-, Reg1j.141tic-11-1 0: O'K, Cc•r*";ractors st-.lte. i. {C'emi Board,
he R, @8i strir p C i I) r c. to i doe.s isS,m! thiti license ',b,,
SE ECALIF(DRNII,l.k,,l-lA'---AR-E,)O'L['-. INC
in fo 1?
A • GENEIRAL.EENIG'i ' llriRING..QONTRA TOR
HAZ -.1AAZk`R, .0 '' : NC-VS'REMQVALD. U5 SU.BST.-N,
12
k'Vit;less h"2110l and H115 d;rY,
5, N'101
Issued April 10, 1997
as rial Wtd 0""'P <jwmi d to th' Rt, 'Stro
Stcphcri P. Sands
Rcgistrar of ConEvactors
734854
UNCILI. ODEINTERNATIvNA
4. . . . . . . . . . . . . .
JAMEL: HAMD AN
certificate: has so tisfaqtTh, In' te'm I the indijild4al: nat le'd. 6?1 this cer ly
6 o4strated knotOedge d b 'th jnternatimal: Code Coun'cilf byslwcvsspu11y cop4icting the prescrAed . d y
an Cer ifi, as. codes grid st dardithc ' d Hereby issued t ca6mwrittinexaminatioitbused: on. x an 4 In effect
USTa, Serirke ec mcianhCalif4rfii
Given this JuneofJU 1. 1., 2009
4iRg7_
Richard P., Weiland:
zr Adolf ZiNift x&UPresident, gourd of Directors tiVe Offi6eV
ICCIIIIIINtmil IN N I
II
mulummmumiumumflimmmmim
Company: California Hazardous Services, Inc.
Certified Trained Installer Card #: CA-713, CA-1272
Expires on: 9/8/2012
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INTERNATIONAL CODE COUNCIL
KEVIN NELSON
The International Code Council attests that the individual named on this certificate has satisfactorily
demonstrated knowledge as required by the International Code Council by successfully completing the prescribed
written examination based on codes and standards then in effect, and is hereby issued this certification as;
California UST Service Technician
Given this day of July 7, 2009
Certificate No. 5262087 -UT
N--
Adolf Zubia
President, Board of Directors
Richard P. Weiland
Chief Executive Officer
I, C::n a,; :a' .. , •il L. :I:.. . . ., ;, ..' '.I: I r!:,Ir. .LI III 'il P nl !I!iiyl r +jl;!:,,' „! II .
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This certificate is the property of 1CC andmu!i M retorned toICC in the evento /suspension a revocotionof the ceilikote.
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2.
Franklin Fueling Systems
The person named on this card has demonstrated knowledge
of the listed products and installation procedures by completing
an exam provided by Franklin Fueling Systems. Each
certification is valid for 2 years. The expiration date is listed on
the reverse side of this card.
Franklin Fueling Systems
3760 Marsh Road
Madison, WI 53718
800- 984 -6266
17 Franklin Fueling.
Kevin Nelson .Gerfific
California Hazardous Services a a
1. Print on heavy paper
2. Cut along the dotted lines
3. Fold card in half
To receive this certification as a laminated wallet card email this PDF file to CERTCARD@FRANKLINFUELING.COM
Your email must include the mailing address you want the card sent to.
Please allow up to 2 weeks to receive your laminated card.
GENERAL NOTES:
I . PREPARE AND SECURE AREA AS REQUIRED FOR THE
EXECUTION OF THE WORK TO BE COMPLETED.
2. CONTRACTOR SHALL PERFORM ALL REQUIRED
INSPECTIONS AND TESTING PER GOVERNING AGENCY
REQUIREMENI"S.
3. ALL PARTS SHALL BE INSTALLED PER MANUFACTURERS
SPECIFICATIONS.
4. ALL WORK SHALL BE PERFORMED OR SUPERVISED BY
AN INDIVIDUAL WHO POSSESSES A APPLICABLE VALID
I.C.C. f- MANUFACTURERS CERTIFICATION.
5. PRIOR TO DISCONNECTING THE VEEDER -ROOT TI-5-350
MONITORING SYSTEM FOR ANY REASON,
CONTRACTORS MUST NOTIFY CAM (CALIFORNIA
ALARMS MANAGER) AND RECEIVE WRITTEN
CONFIRMATION 48 HOURS IN ADVANCE OF ACTIVITY,
CONTRACTORS MUST ALSO PROVIDE 15 MINUTE
ADVANCE NOTICE TO THE CAM @ I -800- KNOW -EH5;
PROMPT 2 -1 -2 ALL VEEEDEK -ROOT WORK, INCLUDING
DISCONNECTS, MUST BE DONE BY A VEEDEK -ROOT
CERTIFIED LEVEL 4 TECHNICIAN.
G. ALL EXISTING BUILDINGS, STRUCTURES AND
EQUIPMENT SHALL REMAIN EXISTING UNLE55 NOTED
OTHERWISE
SCOPE OF WORK:
O CONTRACTOR TO REPLACE SPILL BUCKET U51NG MODEL, PHIL -TITS SYSTEM, MODEL # 85 100.
CONTRACTOR TO AL50 REPLACE SEAL ADAPTER USING
MODEL; PHIL -TITS MODEL # MF4X4.
lJ. SENSOR SLEEVE IN FILL SUMP TO BE INSTALLED.
OPENETRATIONS IN FILL SUMP TO BE INSTALLED AS NEEDED.
OAPTEK SPILL BUCKET INSTALLATION, LAKE TEST TO BE
PERFORMED.
TERMINATION BOOT BEND CLAMP TO BE INSTALLED IN
TRANSITION SUMP.
COLLAR TO BE REPAIRED U51NG WESTERN FIBERGLASS
REPAIR KIT. SEE PARTS LIST
8. AFTER COMPLETION OF WORK ALL BARRICADES AND DEBRIS
TO BE REMOVED AND SITE RESTORED,
FILL SUMP
PLAN VIEW
NOT TO SCALE
FILL SUMP W/ SENSOR PIPING SUMP W/ SENSOR
ANNULAR SENSOR 5K DIESEL U5T
OVERFILL ALARM
VENT RISER
PARTS LIST
ITEM PART NO. DESCRIPTION QTY.
O 85100 PHIL - TITE SYSTEM SPILL BUCKET I
O MF4X4 PHIL - TITE SEAL ADAPTER I
OC 5[354[31.4 BLUELINE, PENETRATION FITTING ELEC. I
O ACB 005 BLUE SEAL GLUE AIN
OAC 8007 WESTERN FIBERGLA55 COLLAR REPAIR KT I
20Th STREET
AT *T CAKO 10
SITE PLAN
NOT TO SCALE
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GENERAL NOTES:
I . PREPARE AND SECURE AREA AS REQUIRED FOR THE
EXECUTION OF THE WORK TO BE COMPLETED.
2. CONTRACTOR SHALL PERFORM ALL REQUIRED
INSPECTIONS AND TESTING PER GOVERNING AGENCY
REQUIREMENTS.
3. ALL PARTS SHALL BE INSTALLED P "ER MANUFACTURERS
SPECIFICATIONS.
4. ALL WORK SHALL BE PERFORMED OR SUPERVISED BY
AN INDIVIDUAL WHO 1`055E55E5 A APPLICABLE VALID
I.C.C. MANUFACTURERS CERTIFICATION.
5. PRIOR TO DISCONNECTING THE VEEDER -ROOT TLS -350
MONITORING SYSTEM FOR ANY REASON,
CONTRACTORS MUST NOTIFY CAM (CALIFORNIA
ALARlv15 MANAGER) AND RECEIVE WRITTEN
CONFIRMATION 48 HOURS IN ADVANCE OF ACTIVITY,
CONTRACTORS MUST AL-90 PROVIDE 15 MINUTE
ADVANCE NOTICE TO THE CAM @ 1 -800- KNOW -EHS;
PROMPT 2-1-2 ALL VEEDER -ROOT WORK, INCLUDING
DISCONNECTS, MUST BE DONE BY A V[EDER -ROOT
CERTIFIED LEVEL 4 TECHNICIAN.
G. ALL EXISTING BUILDINGS, STRUCTURES AND
EQUIPMENT SHALL REMAIN EXISTING UNLESS NOTED
OTHERWISE
SCOPE OF WORK.:
0 CONTRACTOR TO REPLACE SPILL BUCKET U51NG MODEL, PHIL =TITE SYSTEM, MODEL # 85 100.
CONTRACTOR TO ALSO REPLACE SEAL ADAPTER USING
MODEL; PHIL -TITS MODEL # MF4X4.
3O. SENSOR SLEEVE IN FILL SUMP TO BE INSTALLED.
PENETRATIONS IN FILL SUMP TO BE INSTALLED AS NEEDED.
OAFTEK SPILL BUCKET INSTALLATION, LAKE TEST TO BE
rERFORMED.
G. TERMINATION BOOT BEND CLAMP TO BE INSTALLED IN
TRANSITION SUMP.
OCOLLAK TO BE REPAIRED USING WESTERN FIBERGLA55 .
REPAIR KIT. SEE PARTS LIST
8. AFTER, COMPLETION OF WORK ALL BARRICADES AND DEBRIS
TO BE REMOVED AND 51TE RESTORED.
FILL SUMP
PLAN VIEW
NOT TO SCALE
FILL SUMP W/ 5EN50R PIPING SUMP W/ SENSOR
I . 2. 02V A B VENT RISER
ANNULAR SENSOR BKDIESEL U5T I
FUEL LINE
OVERFILL ALARM L_ - - -- - - - --
n o 1
20Th STREET
AT *T CAKO 10
SITE PLAN
NOT TO SCALE
51TE VICINITY MAP
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PARTS LIST
ITEM PART NO. DESCRIPTION QTY. i#
All A.
O 85 100 PHIL - TITE SYSTEM SPILL BUCKET
BO MF4X4 PHIL - TITE- -SEAL ADAPTER I
O 51354E31.4 BLUELINE, PENETRATION FITTING ELEC. I y a a :t . ... ,
OACB 005 BLUE SEAL GLUE NN
OAC 8007 WESTERN FIBERGLASS COLLAR REPAIR KIT
51TE VICINITY MAP
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GENERAL NOTES:
I . PREPARE AND SECURE AREA AS REQUIRED FOR THE
EXECUTION OF THE WORK TO BE COMPLETED.
2. CONTRACTOR SHALL PERFORM ALL REQUIRED
INSPECTIONS AND TESTING PER GOVERNING AGENCY
REQUIREMENTS.
3. ALL PARTS SHALL BE INSTALLED PER MANUFACTUKERS
SPECIFICATIONS.
4. ALL WORK SHALL BE PERFORMED OR SUPERVISED BY
AN INDIVIDUAL WHO POSSESSES A APPLICABLE VALID
I.C.C. * MANUFACTURERS CERTIFICATION.
5, PRIOR TO DISCONNECTING THE VEEDER -ROOT TL5-350
MONITORING SYSTEM FOR ANY REASON,
CONTRACTORS MUST NOTIFY CAM (CALIFORNIA
ALARMS MANAGER) AND RECEIVE WRITTEN
CONFIRMATION 48 HOURS IN ADVANCE OF ACTIVITY,
CONTRACTORS ML15T AL5O PROVIDE 15 MINUTE
ADVANCE NOTICE TO THE CAM @ I -800- KNOW -EH5;
PROMPT 2-1-2 ALL VEEDER -ROUT WORK, INCLUDING
DISCONNECTS, MUST BE DONE BY A VEEDER -ROOT
CERTIFIED LEVEL 4 TECHNICIAN,
G. ALL EXISTING BUILDINGS, STRUCTURES AND
EQUIPMENT SHALL REMAIN EXISTING UNLE55 NOTED
OTHERWISE
5COFT OF WORK:
CONTRACTOKTO REPLACE SPILL BUCKET U51NG MODEL,
PHIL-TITE SYSTEM, MODEL # 85100.
v CONTRACTOR TO ALSO REPLACE SEAL ADAPTER U51NGMODEL; PHIL -TITS MODEL # MF4X4.
O5EN5OR SLEEVE IN FILL SUMP TO BE INSTALLED.
7PENETRATION5 IN FILL SUMP TO BE INSTALLED AS NEEDED.
AFTER SPILL BUCKET INSTALLATION, LAKE TEST TO BE
FERFOIF IAffD.
G. TERMINATION BOOT BEND CLAMP TO BE INSTALLED IN
TRANSITION SUMP.
COLIARTO BE REPAIRED USING WESTEKN FIBERGLASS
REPAIR KIT. 5EE PARTS LIST
8. AFTER COMPLETION OF WORK ALL BARRICADES AND DEBRIS
TO BE REMOVED AND 511 "E RESTORED,
FILL SUMP W/ SENSOR PIPING SUMP W/ SENSOR
ANNULAR SENSOR 6KUIE5ELU5T
OVERFILL ALARM i
VENT RISER
20Th STREET
AT *T CAKO 10
SITE PLAN
NOT TO SCALE
PLAN VIEW
NOT TO SCALE
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PARTS LIST
ITEM PART NO. DESCRIPTION QTY.
O 55100 PHIL - TITE SYSTEM SPILL BUCKET I
O MF4X4 PHIL - TITE SEAL ADAPTER I
OC 51354E31.4 BLUELINE, PENETRATION FITTING ELEC.
O ACB 005 BLUE SEAL GLUE AIN
O AC 8007 WESTERN FIBERGLA55 COLLAR REPAIR KIT
FILL SUMP SITE VICINITY MAP
PLAN VIEW
NOT TO SCALE
N
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N
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