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COMPLIANCE INFO 2004 - 2012
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231464
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COMPLIANCE INFO 2004 - 2012
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Last modified
6/17/2019 11:58:25 AM
Creation date
12/13/2018 3:43:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2012
RECORD_ID
PR0231464
PE
2361
FACILITY_ID
FA0000914
FACILITY_NAME
TIGER EXPRESS STORES
STREET_NUMBER
1399
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1399 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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SWRCB, January 2002 <br />8. FILL RISER CONTAINMENT SUMP TESTING <br />Page ( of <br />Facility is Not Equipped With Fill Riser Containment Sums ❑ <br />Fill Riser Containment Sumps are Present, but were Not Tested <br />est Method Developed By: D Sump Manufacturer ❑ Industry Standard D Professional 1 vgineer <br />❑ Other (Spec) 71 <br />Test ethod Used: D Pressure ❑ Vacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equip m t Used: <br />Equipment Resolution: <br />�k ,. , � <br />..,,.,:a;.. amn •. ,u <br />5a . .. <br />x.n�. . ,. t. t, a d y. <br />i..:M[n,. _: , �. <br />Fill Sump # <br />Fill Sump # <br />Fill Sum # <br />Fill Sumv # <br />Sump Diameter: <br />Sump Depth: <br />/ <br />Height from Tank Top to Top <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testin <br />Portion of Sump Tested <br />Sump Material: <br />�f <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />a <br />Test Start Time: <br />Initial Reading (Ro' <br />Test End Time: <br />Final Reading (RF): <br />,f <br />Test Duration: <br />Chan e in Reading(RF-RI): <br />Pass/Fail Threshold or Crit a: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass DPW <br />❑ Pass ❑ Fail <br />Is there a sensor in sump? <br />❑ Yes ❑ No <br />D Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Does the sensor 1 when <br />either produc r water is <br />detected? <br />❑ Yes ❑ No DNA <br />❑ Yes ❑ No ❑ NA <br />D Yes D No ❑ NA <br />❑Yes No ❑ NA <br />Was se or removed for testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No DNA <br />❑ Yes D No ❑ NA <br />❑ Yes ❑ No NA <br />Wa censor properly replaced and <br />ve ified functional after testing? <br />D Yes ❑ No DNA <br />O Yes ❑ No [INA <br />❑ Yes D No ❑ NA <br />D Yes ❑ No DNA <br />Comments —(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />
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