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COMPLIANCE INFO_2020
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231455
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/15/2020 9:49:52 AM
Creation date
5/13/2020 11:55:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231455
PE
2361
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Spill Bucket Testing Report <br /> 1 . FACILITY INFORMATION <br /> Facility Name : Yosemite Avenue ARCO Am Pm Date of Testing : 07/02/2020 <br /> Facility Address: 1711 E . Yosemite Ave . Manteca, CA 95336 <br /> Facility Contact : Jesse Phone : (209 ) 825 -6784 <br /> 2 . TESTING CONTRACTOR INFORMATION <br /> Company Name : Diamond Petroleum Services , Inc . <br /> Technician Conducting Test : Guadalupe Sanchez <br /> Contractor License # 1005444 ICC Certification # 5250451 <br /> 3 . SPILL BUCKET TESTING INFORMATION <br /> mp <br /> Test Method Used : Hydrostatic <br /> Test Equipment Used : Standard Tape Measure Equipment Resolution : 1 / 16" <br /> Identify Spill Bucket (B), Tank T1 : 87 Master Fill T2 : 87 Slave Fill T3 : 91 Fill <br /> Number, S1oi•ed Product, etc. <br /> Bucket Installation Type : Direct Bury Direct Bury Direct Bury Direct Bury <br /> x Contained in Sump x Contained in SUMP x Contained in Sump Contained in Sum i <br /> Bucket Inside Diameter: 11 " <br /> Bucket Depth : 12" 12" 12" <br /> Wait time between applying 5 minutes 5 ►ninutes 5 minutes <br /> vacuum/water and start of test. <br /> Test Start Time (Ti) : 9 : 57 a. m . 9 : 57 a.m . 9 : 57 a . m . <br /> Initial Reading (Ri ) : 1 1 '/a" 11 %a" 1 1 '/," <br /> Test End Time ('I'F) : 10 : 57 a. m . 10 : 57 a . m . 10 : 57 a. m . <br /> Final Reading ( RF) : 11 ''/4" 1 1 '/," 11 ''/a" <br /> Test Duration (TF -, Ti ) : 1 hr I hr I hr <br /> Change in Reading ( RF - Ri) : 0 I 0 0 <br /> Pass/Fail Threshold or 1 /8" 1 /8" 1 /8" <br /> Criteria: <br /> Test Result: x Pass IFail x Pass ❑ Fail x Pass ❑ Fail Pass ❑ Fail <br /> Comments : <br /> Technician ' s Signaturerf--�� y z�� �� . G` Date : 07/02/2020 <br /> I <br />
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