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COMPLIANCE INFO 2006 - 2012
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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2300 - Underground Storage Tank Program
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PR0231059
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COMPLIANCE INFO 2006 - 2012
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Entry Properties
Last modified
6/10/2019 3:50:24 PM
Creation date
11/16/2018 10:45:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006 - 2012
RECORD_ID
PR0231059
PE
2361
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
01
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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KBlackwell
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EHD - Public
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07/22!2009 14:13 FAX 209 744 0116 <br />SWRCB, January 2002 <br />4. , TANK ANNULAR TESTING <br />00002/0006 <br />Page 2— of —7 <br />Test Method Developed By: Tank Manufacturer 0 Industry Standard Q Professional Engineer <br />Other (Spec) <br />Test Method Used: Q Pressure acuum Q Hydrostatic <br />Q Other (Specify) <br />Test Equipment Used: s� u celttuas� {uG , Rr= E Equipment Resolution: <br />r <br />Tank #.� z, Z `Tank # Tank # �� Wank # <br />Is Tank Exempt From Testing?' <br />Q Yes o <br />0 Yes 0 No <br />0 Yes Q No <br />; Q Yes Q No ; <br />Tank Capacity: <br />Tank Material: <br />(t tee 44 1. <br />j <br />Tank Manufacturer: <br />P1'O (,t) <br />Product Stored: <br />Wait time between applying <br />pressure/acu ater and <br />startingtest. <br />; <br />Test Start Time: <br />Initial Reading (Rt): <br />-- /O/V i <br />p` <br />Y <br />Test End Time: <br />/ (,'-36; <br />Final Reading (RF): <br />Test Duration: <br />i <br />Change in Reading (RF -R,): <br />j <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Pass 0 Fail <br />0 Pass Q Fitil <br />QA Pass i kFail <br />0 Pass 0 Rail <br />Was sensor removed for testing? <br />Yes Q No 0 NAYes <br />Q No Q NA <br />es Q No 'd NA <br />0 Yes Q No 0 NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />�es Q No 0 NA <br />Q Yes Q No Q N� <br />Yes Q No Q SIA <br />' <br />11Yes Q No 0 NA <br />Comments — (include information on repairs made prior to testing and reco►nmended follow-up forfailed tests) <br />' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testing. {Califomia Code of Regulations, Title 23, Section 2637(a)(6)) <br />
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