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COMPLIANCE INFO 2014 - 2015
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO 2014 - 2015
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Last modified
5/28/2019 11:15:30 AM
Creation date
10/19/2018 3:11:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 2014 - 2015
FileName_PostFix
2014 - 2015
RECORD_ID
PR0516526
PE
2361
FACILITY_ID
FA0012659
FACILITY_NAME
LOVE'S COUNTRY STORES OF CALIF #223
STREET_NUMBER
1553
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534024
CURRENT_STATUS
01
SITE_LOCATION
1553 COLONY RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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HFGFIVE <br /> AUG 2 4 2015 <br /> 416 2nd Street Phone: (209)744-0112 PERMIT/SERVICES <br /> fforda-Te LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER <br /> SITE NAME:LOVES TEST DATE 08-11-15 <br /> SITE ADDRESS 1553 COLONY RD PHONE ( ) - <br /> CITY RIPON CA <br /> ❑ Repair/Construction LOCATION SKETCH 7 Show North <br /> ® Compliance ❑ Owners Request <br /> Insurance ❑ Escrow <br /> ❑ Other <br /> Make&Type of Pump or Dispenser <br /> PE PETRO <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 45' <br /> Weather <br /> SUNNY <br /> ® I Pressure I Suction ❑ SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 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 87 A 175 5 189/3 33 19 PASS <br /> B LD 2000 E <br /> C FXI V 91 A 225 5 189/3 37 26 PASS <br /> D FXI DV <br /> E JSTPIVILD DIE 1 B 625 8 189/3 30 45 PASS <br /> F STPMLD — D <br /> G STPMLD — E DIE 2 B 350 7 189/3 33 32 PASS <br /> H STPMLD—D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> David Winkler <br /> 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 /> PETROTITE CERT.#: CCA: 87 OCT ®PASS []FAIL ❑INCONCLUSIVE .0000 <br /> CAA3000032365 []PASS EIFAIL INCONCLUSIVE <br /> OTTL License#: OTTL# 08-1739 <br /> Trainee: 91 OCT ®PASS EFF—AIL ❑INCONCLUSIVE .0000 <br /> NIC GRAHAM/FELIX ❑PASS ❑FAIL []INCONCLUSIVE <br /> RAMIREZ <br /> EQUIPMENT: PETRO TrrE LINE TESTER DIE ®PASS ❑FAIL ❑INCONCLUSIVE .0020 <br />
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