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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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6732
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2300 - Underground Storage Tank Program
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PR0231830
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COMPLIANCE INFO
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Entry Properties
Last modified
7/6/2020 4:38:43 PM
Creation date
11/8/2018 9:59:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0231830
PE
2361
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\W\WATERLOO\6732\PR0231830\COMPLIANCE INFO.PDF
Tags
EHD - Public
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Poe 36 26515 N SACTO, BL. LINE & LEAK DETECTOR <br /> p <br /> Q�� -�Q� THORNTON, CA. 95686 <br /> 209 �9a-olo11z soo sza-9ols7 TEST REPORT <br /> CONTRACTOR/ENGINEER H)'IPI'V, S/6l,((� 'f. �i TEST DATE <br /> ORDERING TEST y I. <br /> SITE: -6 (pur l wry 6�r c f <br /> OPERATOR PNo�, WpoI e'�y Station# OWNER <br /> SITE ADDRESS—b'' —5 mr'le r ADDRESS <br /> PHONE ���a ) 9✓ l - PHONE - <br /> REASON FOR TEST LOCATION SKE'I'CII <br /> C�- ilr erC pr • 6CN hJ P-( <br /> LINE(s)ONLY FANK(s)-LINE(s ikl g7 <br /> LINF(s}LEAK DET. <br /> TANK(s)-LINE(s)-LEAK DET. ( � <br /> MAKR a TYrE oP Pt <br /> '1 <br /> ORMFENSER I L-K ,y <br /> OVER <br /> APP PDX BURIAL -G•) <br /> DP3'ill <br /> WEATHER (200"( <br /> I <br /> PRESSURE SUCTION SIIOWSIREFISRLOtISIANKSISLANUS'PIPINO FKNOWN PUFIPSOROISPENSERS <br /> EB /N <br /> ECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> No. 10 PSI <br /> LD <br /> Serial 0 "1'ng Test unctions Hering Yes/ <br /> K" Number Resiliency Time Leak Rate Element PSI No <br /> Product In Second., M in Holdin 116036-5 <br /> BFLDMMODEL <br /> PIN 39-5 <br /> 16030-5 <br /> i t --5160I7-5 116012-5 <br /> Nolen <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION IF.7n II FRE A7ADEON 771E IJNF S}S7FMSAS N07ED INACCORDANCE 077717EST <br /> rROCMURrc PRESCR7RED nVR AS DEPAI7FD ON IHE TFSTCHART ON SIDE 2 <br /> TECIIMSMATUcl L — NIMMO Or•7HISrvRArlm7rRESUL7SASPOUD$fa: <br /> prlATBlu <br /> LINEIUENTIFICATION <br /> NET VOLUME PER HOUR <br /> I-FE—TROMECERT.0090993AO163 - i �. PASS / FAIL / INCONCLUSIVE — <br /> OfTL LIC # 71-1143 O <br /> Thi wNm / I• ASS / FAIL / INCONCLUSIVE — pz-73,D <br /> 7dn"fip . PASS / FAIL / INCONCLUSIVE <br /> FEATURINO PETR TILE <br /> LINE TESTE --1 PASS / FAIL. / INCONCLUSIVE <br />
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