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COMPLIANCE INFO 2004 - 2011
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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PR0231098
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COMPLIANCE INFO 2004 - 2011
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Last modified
7/25/2019 8:52:05 AM
Creation date
7/24/2019 4:44:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2011
RECORD_ID
PR0231098
PE
2361
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
01
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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FROM :Donlee pump co. <br />SINRCB. lanuan, 2002 <br />FAX NO. :2095379398 ug. 29 2005 09:12AM P5 <br />5. SECONDARY PIPE TESTING <br />Page :3 of—L <br />Test Method Develdped By <br />0 Piping Manufacturer 0 Industry Stand;trd 1; Professional Engineer <br />0 Otltcr pecifv) <br />Test Method Used; <br />ressure <br />0 Other (Specify) <br />0 Vaeuuin C Hydrostatic <br />Tcst Equipment Used; <br />Equipment Resolution: <br />Piping Run # j <br />Piping Run Nelxr,5 Pitting Run # Pipins Run # <br />Piping itlateiial: <br />cp f <br />Piping Manufacturer <br />Piping Diameter <br />" <br />•* <br />_ <br />Length of Piping Run.. <br />Product Stored: <br />se3�- <br />i Method and location of <br />piping-runisoladon� <br />Wait time between applying <br />j pressure%vacuut ilwater mid <br />:i:vtin.- test. <br />Test Stan Time <br />I luitiai Reading (R,): <br />3 tis <br />Test End Time; <br />! Final Reading (PF): <br />tai <br />Test Duration: <br />Change in Reading (RFAIJ., <br />Pass/Fail Tlueshold or <br />Criteria: <br />PA SS <br />A r s I <br />! <br />i <br />s lest Result: .:.>`'. <br />piss ': ❑ Fail <br />WFuss 0 Fail ❑ Pass 0 Fail ❑ Pass ❑ Fail <br />Cotte ments — (include injarw arion air repoirs made prior ita ILINInL. and rc�aaAiaarrndurl follotr•rrp f;r frai[etI icsasl <br />
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