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COMPLIANCE INFO 2001-2006
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO 2001-2006
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Last modified
5/24/2019 9:49:31 AM
Creation date
11/1/2018 9:48:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 2001-2006
FileName_PostFix
2001-2006
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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EHD - Public
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S WRCB,January 2002 Page C�._of �- <br /> 9. SPi1,L/0VERFILL CONTAINMENT BOX! <br /> Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer 211ndustry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum Mydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: 1/(/ �- <br /> �- 4, G J= Equipment Resolution: <br /> Y.. l:n^Ga,'r'''`�i.'.i!14d:Ydih' 4'ft��BSFIIrr"'i'F.t�9t�+5� s+t!l,dt 'hf'( 1fid'!l�!ni'iltet' fa`d ':ir�v'i ;.SFrbihndY'kwi;fkR.`F-R. �7F':u'if'sa34'?ia`C'aYH "fkYdiAhh� .Itkifi:Y(:.�'4s"' aRl'dk1k+�so?eUlMi?iF�s;: <br /> Y <br /> Spill Box# Spill Box# / -spill'Box# Spill Box# <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: - �`?S� q-Y q-10-7 <br /> Initial Reading(RI): �� "� `� 1 r7,S'Y 7 S <br /> Test End Time: <br /> Final Reading(RF): '1 '7 ' <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Comments —(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> M .CI air <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 1001 "I" Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone: (916)341-5873,Fax: (916)341-5808 <br /> e-mail: bacons@cwp.swreb.ca.gov <br />
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