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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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2800 - Aboveground Petroleum Storage Program
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PR0540158
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
7/5/2019 4:10:23 PM
Creation date
8/24/2018 6:19:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0540158
PE
2832
FACILITY_ID
FA0019881
FACILITY_NAME
FARMINGTON CIRCLE K
STREET_NUMBER
4469
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
FARMINGTON
Zip
95230
APN
18713010
CURRENT_STATUS
01
SITE_LOCATION
4469 S ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\E\ESCALON BELLOTA\4469\PR0540158\COMPLIANCE INFO 2016 - PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2016 - PRESENT
QuestysRecordDate
10/14/2016 10:50:47 PM
QuestysRecordID
3022137
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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LNrda Te t 416 2^d Street Phone:(209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 <br /> afforda@softcom.net TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE 5/9/2016 <br /> SITE: SANGUNETTI CIRCLE K <br /> 4391 ESCALON BELLOTA RD. FARMINGTON, CA 95230 <br /> Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance® Owners Request <br /> Insurance ❑ Escrow SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> L] Other - <br /> Make&Type of Pump or Dispenser <br /> F. E. PETRO <br /> Cover Over Lines MAY 2 4 2016 <br /> A S T- CONCRETE, ASPHALT <br /> Approx Burial Depth R'►+«�er bL; <br /> 10 FT-2FT `ti���....��... .,.... <br /> Weather <br /> PARTLY CLOUDY, WARMING <br /> Pressure ® Suction <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds MUMin. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E <br /> H STPMLD—D/E Notes:NONE INSTALLED <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> Zane A.Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> OTTL License#: 04-1676 <br /> PETROTITE CERT. ]PASS [—]FAIL ❑INCONCLUSIVE <br /> #:CCA0202112304R 87 OCTANE +.0070 <br /> ICC# 5263322 UT ®PASS ❑FAIL ❑INCONCLUSIVE <br /> Trainee:ASHLEY NIMMO 91 OCTANE ®PASS ❑FAIL ❑INCONCLUSIVE +.0070 <br /> DIESEL 2 ®PASS [-]FAIL ❑ INCONCLUSIVE +.0070 <br /> EQUIPMENT: PETRO TITE LINE E - 85 NPASS ❑FAIL ❑INCONCLUSIVE .0000 <br /> TESTER <br /> Notes: <br />
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