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COMPLIANCE INFO_2013-2018
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2300 - Underground Storage Tank Program
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PR0231400
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COMPLIANCE INFO_2013-2018
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Last modified
11/19/2024 10:19:32 AM
Creation date
4/27/2020 12:24:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231400
PE
2361
FACILITY_ID
FA0003539
FACILITY_NAME
S B GAS & MARKET
STREET_NUMBER
515
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23309031
CURRENT_STATUS
01
SITE_LOCATION
515 W ELEVENTH ST STE 301
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231400_515 W ELEVENTH_2013-2018.tif
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EHD - Public
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Afforda-Te t 4162"d Street Phone: (209)744-0112 <br /> Galt,Ca 95632 Fax: (209)744-0116 <br /> afforda softcom.net <br /> E.O. VR-202 <br /> INCON In-Station Diagnostics Dispenser Shutdown Mapping Verification Test <br /> & Vapor Flow Meter V/L Check Test Report Form <br /> Permit Number:N-2477-2-3 CONF# 18-25625 Test Company:AFFORDA-TEST <br /> Site Name: S B GAS & MARKET Technician:ZANE A.NIMMO <br /> Site Address: 515 W. MARKET STREET Ceatzonlumbe µ t ate <br /> City:TRACY„CA Zip:95367 District: 563743702 11/26/2018 <br /> Date/Time of Test:7/11/201817 10M relum <br /> M <br /> § 1 IF <br /> Y'PING VERIFI <br /> W,ice 14.1"��.ts� <br /> Bo <br /> Dispenser fueling point numbers FP: 5 FP:6 <br /> ` E } 4. <br /> e ReSUtt <br /> Dispenser was shutdown? Y <br /> Fuel was unable to be dispensed from fueling points associated with the dispenser? Y <br /> Dispenser was re-enabled? Y <br /> Fuel can be dispensed from fueling points associated with the dispenser? Y <br /> y <br /> fi && VAPOR FL(1 <br /> Vapor flow meter serial number 0814 042 <br /> Dispenser fueling point numbers FP:5 FP: 6 <br /> Low grade V/L result#1 1.12 1.05 <br /> ISD V/L value 91 1.27 1.20 <br /> Difference between V/L result#1 and ISD V/L value#1 (V/L—ISD V/L) .15 .15 <br /> Pass/Fail(Pass=difference within±0.15),if fail continue PASS PASS <br /> Low grade V/L result#2 <br /> Low grade V/L,result#3 <br /> Average of 3 V/L results <br /> ISD V/L value#2 <br /> ISD V/L value#3 <br /> Average of 3 ISD V/L results <br /> Difference between Average V/L and Average ISD V/L values <br /> Pass/Fail(Pass=difference within±0.15) <br /> I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed <br /> after reasonable inquiry, the statements and information provided in this document are true accurate, and complete <br /> to <br /> Signature of Technician: Date: 7/11/2018 <br /> AUG 13 �ui8 <br /> Ver. 1.2—08.05.08 <br />
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