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COMPLIANCE INFO_2010-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231069
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COMPLIANCE INFO_2010-2018
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Last modified
2/28/2023 11:45:51 AM
Creation date
6/3/2020 9:44:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231069_1856 W COUNTRY CLUB_2010-2018.tif
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EHD - Public
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SWRCB,'January 2.002 0 <br />Test Method Developed By: <br />Test Method used: <br />Test Equipment Used: <br />Diameter. <br />Sump Material: <br />Height from Tank Top to Top of <br />Hi h�esi,�ing Penetration: <br />Height from Tank Top to Lo;;st <br />Electrical Penetration: <br />Condition of sump prior to <br />testing <br />Portion of Sump Tested' <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />product and water)?' <br />Turbine shutdown response time <br />Is system programmed for fail-saf . <br />E <br />.6. PIPING SUMP TESTING <br />0 Sump Manufacturer 0 Industry Standard <br />0 Other (Specify) <br />C Pressure <br />0 Vacuum <br />0 Other (Specify) <br />Initial Reading (R): <br />7 Equ <br />Wmp <br />Sump #i. <br />7 <br />q 7- <br />44 <br />447,41 <br />Im <br />6 <br />',b.e a <br />aS5 <br />9D/q <br />Change in Reading (RF -R): <br />I D <br />— D101 <br />Pass,Tafl Threshold or Criteria: <br />Page 4 of -7 <br />Engineer <br />neat Resolution: 1,0-2, <br /># <br />6, r <br />Jqes 0 No 11 NA Xyes o No O NA 0 Yes0 <br />P d 4-av-c a4 mi �- C �,c (�C& <br />-�t �nW A ❑ 11-�L <br />Yes 0 No El NA A�ws 0 No 0 NA D Yes - Lq <br />i <br />MIM -Wim <br />ONA I DY09 tiNoCINA <br />Was fail-safe verified to be OYes <br />o 0 Yes )R:No 0 NA 0 Yes RW6, ONA 0 Yes O NA <br />0 Yes No NA <br />kiz. I O <br />Wait time between <br />g <br />Pressure/vacUum/;;=1 starting <br />test <br />Lo r --I <br />Test Start Time: <br />t: 3 5 -- <br />Initial Reading (R): <br />Test End Time. <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R): <br />Pass,Tafl Threshold or Criteria: <br />Test Result <br />ass 0 Fail <br />ass 12 F20 0 pass 0 Ail <br />Was sensor removed for testing? <br />—P <br />es 0 No 11 NA <br />es ON6 DNA )byes ONo 0kTA es 0 N ON* <br />Was sensor properly replaced and <br />I — <br />verified functional after tesft�'? <br />es 0 No Ef NA <br />,2 'es 0 No 0 NA-�Yes 0 No 0 NA� <br />0 Yes 0 NaNo 0 �A <br />COMMents — (include information on repairs made prior to La!ft and recommended followor ailed tests <br />- <br />Ifthe entire depth of the sump is not tested; specify how much was tested. If the answer to M of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />9100/S00012 9TTO I VVL 60Z XVJ OV:TT 600Z/ZO/TT <br />
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