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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
Scanner
KBlackwell
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EHD - Public
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CHAVII'I()N PRECISI __ _ T TESTING, INC. <br />P. O. Box 6398, Bakersfield, CA 93386 <br />(661) 363-7400 (800) 660-9443 <br />FAX (661) 363-7474 <br />Contractors #848150 <br />Mechanical Leak Detector Test Data Sheet <br />Site Name T yc- r Z <br />Address !'3�, <br />Test Information <br />Comments: <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment manufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The mechanical leak detector test passliail is determined using a low sow <br />threshold trip rate of 3 gph at 10 PSI. <br />Technician Ed Stearns Veeder-Root # S i L I l <br />Signature_�C��-C� <br />-� <br />Revi im 5101 <br />1 <br />Z <br />3 <br />4 <br />5 <br />Product <br />,� <br />9 r <br />p, c -s e- c- <br />Manufacturerr <br />Ric .J kr <br />F c % � <br />j',:jj7ck< <br />Model <br />t /� - c's <br />j —7P /-nL D <br />116 <br />Resiliency <br />/'/)9) <br />Opening Time <br />2 <br />Test Leak Rate (ml/min) <br />} <br />3 <br />3 <br />Metering PSI <br />S C1 <br />? <br />y <br />PASS or FAII. <br />t2C4 SS <br />( SS <br />Comments: <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment manufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The mechanical leak detector test passliail is determined using a low sow <br />threshold trip rate of 3 gph at 10 PSI. <br />Technician Ed Stearns Veeder-Root # S i L I l <br />Signature_�C��-C� <br />-� <br />Revi im 5101 <br />
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