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COMPLIANCE INFO 2003 - 2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PATTERSON PASS
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25775
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2300 - Underground Storage Tank Program
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PR0231708
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COMPLIANCE INFO 2003 - 2009
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Last modified
5/14/2019 1:40:16 PM
Creation date
2/13/2019 2:56:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2009
RECORD_ID
PR0231708
PE
2361
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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t Seconds Containment a estina R.-port Form— <br /> j! INrOg 0 <br /> his jorrn is intended ttr 8y*mmrad m-s pwfosmitig perrodw testirw of LIST s=wtdary cotna&wwjd systetf;'f+ -W the <br /> # � 41orm tv re port u&for all caj�ts tested The cowpleted form writlex;�pro ��p <br /> �ri�'iaR�B� sj ( �pplicu»IeI.vhmdd hc•pnmided to dw.faciliy own¢r/operamr.for svbmitud to tho 'r�%ry agthcy. <br /> 1. FA,CH.IT� 'CII �TiiO i n��Ticc '�Eq <br /> iftyNwm: ARP MINI MART 76 I� .ofT June 1 ,2b09 r' <br /> Facility Address- 25775 So. ,Patterson, Tracy, CA. 95376 <br /> racility Contact: Mr.Patel <br /> I7ataL.acalpgenywas NatifiedofTesdog=May 28,2009 <br /> Name of Loral Agency hqmw ffp <br /> 7- TV-STMG <br /> CornpatcylVame: BERNABE AND- SONS,CO. <br /> Technician Condxfmg Test ERNIE BERNABE <br /> Credentials: CSLB I-iCM=d C nUaCkW <br /> Limme Type: A-HAZ tacia scTied:835412 <br /> ManuE�s� <br /> s Dale T " - ices <br /> Incon TS STS May 26, 2009 <br /> i <br /> u <br /> 3. SUMMARY OF TEST EVESllJ2E YS _ <br /> Colmmu of I•aw Fina Not Coa a st i Plot P-LP,,irs <br /> g� M� 'Teswd Dade <br /> Annular Syphon 87 X Secondary 91 X <br /> Annular -'Master 87 X UDC 1 /2 X <br /> Annular Slave 87 X UDC 3/4 X <br /> 'Annular 91 X UDC 5/6 g_ <br /> ISTP Sump Syphon 87 ;X i UDC 7/8 X + <br /> tSTP Sump Master._ 87 X <br /> STP SUMP Slave 87 X j <br /> ;STP Sump 91 X <br /> Secondary Syphon/haste X= L <br /> Secondary Master 87 X _y <br /> r <br /> Secondary Slave/Maste X FFT <br /> _ <br /> S <br /> ecoiiEIazy-Syp/Mass Cap IX <br /> 1 f hydrostatic testing was paformed,descaa-be wbac v►us done with rhe waw after completion of tests: <br /> Test watex was put in,. 2 55-gallon poly drums <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> To the bew-f my kuowtedge.Aef"owed In this&wur wme are accurate and iia jutl coagw1b ace W&hW as requirements <br /> Technic'ian's Signatut c%% "1 �� ' June 1 ,2009* <br />
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