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COMPLIANCE INFO 2005 - 2009
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231435
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COMPLIANCE INFO 2005 - 2009
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Entry Properties
Last modified
8/7/2019 3:13:32 AM
Creation date
8/6/2019 2:20:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005 - 2009
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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Work Order: 2248462 <br />AFFORVA,-TE$� 416 2nd Street Galt CA 95632 Spill Bucket <br />(209) 744-0112 (209) 744-0116 I`Ax Test Report <br />TES7 DATE { 0 <br />ITE NAME -7- It q9 PHONE 0`l41 ? 23.z'JZ <br />DDR ESS _ 1319 N • M A. L N CONTACT: <br />Present / Not Present <br />3. SPML BUCIICT. TESTING INFORMATION <br />Test Mcthod Used: <br />s <br />I <br />y <br />❑ Yacu <br />C1 Other <br />Test F,clt�ipmant Used: <br />fiquipment Resolution,: t - <br />Identify Spill Bucket (By Tank <br />Ia <br />2 <br />3 <br />Number. Stored Product eta <br />� r <br />1 <br />4 <br />Bucket InsmIlation Type: <br />D DirectBiny <br />Q Direct Bury <br />❑.Direct Busy ❑.Direct Bury <br />Cauta zed in S <br />Contained in S1W3P <br />❑ CDDWntd in SUtTFP ❑ Contained in <br />Bucket Diz=ter. <br />{ ( <br />E <br />Bucket Deptb: <br />Wait time betwten applying <br />vacuum/water and start of test: <br />Test Start Time (T): <br />o <br />�p <br />Initial Reading (R,): <br />L t <br />/-0— <br />o—Teat <br />Test End Time (Tp): <br />d p <br />Oho <br />Final Reading (Rp): <br />{ <br />Test Dtuation (Tr -TF)t <br />Change in Readmg (Rp- R,): <br />Pass/Fail Threshold or <br />Critcria <br />Commeab - 0ndude0ormadin A nPairs made <br />prior to felting, Cndmm-dedfbllaw or failed lasts <br />AV* 1-C A -CA 9(W4 <br />In/T� Su P. <br />Test Water. KTaken with tester F]Left on site <br />I hereby certify that all the infcrma6on contained in this report is true, <br />accurate, and in full com li h legal requirements. <br />Technician; , Zane A. Nimmo <br />Signature: <br />lCD #: 5263322 -UT <br />OTTL #: 04-1676 <br />Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 <br />
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