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COMPLIANCE INFO 2000 - 2004
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231585
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COMPLIANCE INFO 2000 - 2004
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Last modified
4/26/2021 12:01:32 PM
Creation date
11/5/2018 12:57:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2000 - 2004
RECORD_ID
PR0231585
PE
2361
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
01
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARLAN\15600\PR0231585\COMPLIANCE INFO 2000 - 2004.PDF
QuestysFileName
COMPLIANCE INFO 2000 - 2004
QuestysRecordDate
4/11/2018 8:20:49 PM
QuestysRecordID
3752482
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SWRCB,January 2002 • • Page_of_ <br /> 4. TANK ANNULAR TESTING <br /> [Test <br /> :Equipment <br /> hod Developed By: G Tank Manufacturer ndustry Standard ❑Professional Engineer <br /> rJ Other(Specify) <br /> hod Used: ❑Pressure Vacuum ❑Hydrostatic <br /> vd:er(Spec fy <br /> Used Equipment Resolution <br /> G�`;`�'�.q t � � s,tet - i . .f>._:\..Ae•'i v[ b�r.:Y".� �= ..*iTti r :".;..t 4�i-.^.�..cn�r-Yi Y <br /> ^'3:t'c� �''�'9 <br /> Tank <br /> <, ye < a Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes o es ❑No ❑Yes G No ❑Yes ❑No <br /> Tank Capacity: <br /> Tank Material: F G <br /> Tank Manufacturer: <br /> Product Stored: l <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: 4O/�F//'I <br /> Test Start Time: 9 av od <br /> Initial Reading(Rt): /p t17, <br /> Test End Time: l !: <br /> Final Reading(RF): J <br /> Test Duration: <br /> Change in Reading(Rr-RI): <br /> Pass/Fail Threshold or Criteria: <br /> •Test Result: l4"Pass IOFail ePasS 0 Fail ='p Pass•: ❑Fail a] Pass a Fail <br /> Was sensor removed for testing? -'Yes ❑No G NA gr 'es ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testing? TI/yes ❑No G NA P(Yes 0 No ❑NA ❑Yes ❑No =N.A ❑Yes ❑No 11 NA <br /> Comments—(include ii fonnation on repairs made prior to testing, and recommended follrnv-irp`or failed tests) <br /> Secondary containment systems v:here the continuous monitoring automatically monitors beth the primary and secondary <br /> containment, such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic <br />
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