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COMPLIANCE INFO_PRE 2019
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2300 - Underground Storage Tank Program
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PR0231532
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
10/5/2022 11:21:35 AM
Creation date
11/8/2018 9:47:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0231532
PE
2351
FACILITY_ID
FA0000185
FACILITY_NAME
CITY FOOD & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
03
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\C\CAMBRIDGE\16470\PR0231532\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
10/22/2012 8:00:00 AM
QuestysRecordID
131132
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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V .NKNOLOGY CERTIFICATE OF TESTIK <br /> �AJ 8501 N.MOPAC EXPRESSWAY#400,AUSTIN,TEXAS 7E 9 <br /> TELEPHONE(512)451-6334 FAX(512)459-1459 <br /> PURPOSE: POST CONST TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 2261321 <br /> TEST DATE: 11114/08 CUSTOMER PO: <br /> CLIENT: CIRCLE K STORES SITE:CIRCLE K 2701205,MKT#2616 (N-206) <br /> 495 E.RINCON,STE.150 16470 CAMBRIDGE <br /> CORONA,CA 92879 LATHROP,CA 95330 <br /> RICH GOSSETT MANAGER-ROBERT <br /> (951)270-5193 (209)858-4116 <br /> Tank Ticihtness Tests Results TEST TYPE: NONE <br /> TANK PRODUCT TANK TANK TANK PRODUCT EXTERNAL' TEST RESULT TEST RESULT <br /> ID CAPACITY DIAMETER MATERIAL LEVEL WATER LEVEL WET ULLAGE <br /> 1 UNLEADED 11,849 118.0 DW FIBERG <br /> 2 SUPREME 11,849 116.0 DW FIBERG <br /> .Where regulations require OF Vaa(I cci CNWTIMl water level may he depth of dry well or water is assumed at lowest point that can be confirmed dry. <br /> Product PiDe Ti htness Test Results <br /> LINE LINE DELIVERY TEST IMPACT <br /> TEST RESULT FINAL LEAK RATE (ggph) METHOD VALVE <br /> ID MATERIAL TYPE A C <br /> D A B <br /> FUNCTION <br /> 1 DW FIBERG PRESSURE P 0.000 TLD-1 Y <br /> 2 DW FIBERG PRESSURE P 0.000 TLD-1 Y <br /> Existinq Line Leak Detector Test <br /> EXISTING LEAK DETECTOR#1 EXISTING LEAK DETECTOR#2 <br /> LINE <br /> ID MANUFACTURER MODEL# SERIAL# RESULT MANUFACTURER MODEL# SERIAL# RESULT <br /> 1 FE PETRO MLD -- P <br /> 2 RED JACKET FX1V 2156 P <br /> New Replacement Line Leak Detector Test <br /> ETECTOR* ED LEAK DET=CTOR#2 <br /> LINE MANUFACTURER MODEL# SERIAL# RESULT MANUFACTURER MODEL# SERIAL# RESULT <br /> ID <br /> For owner detailed report information,visit www.tanknology.com and select On-Line Reports-WRAP,or contact your local Tanknology office. <br /> Tester Name:RH:a�� <br /> Technician Certification Nummber:10042 <br /> Tester Signature: Date Signed: <br /> I declare under penalty of perjury that I am a licensed tank tester in the State of California and that the infomration contained in this report <br /> is true and correct to the best of my knowledge. <br />
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