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COMPLIANCE INFO_2011-2018
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2300 - Underground Storage Tank Program
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PR0231554
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COMPLIANCE INFO_2011-2018
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Last modified
4/28/2021 3:19:01 PM
Creation date
6/3/2020 9:50:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0231554
PE
2361
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231554_16500 S HARLAN_2011-2018.tif
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EHD - Public
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ec v/ <br /> Page 6 of 8 _�� e.a�Frx <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> ❑ Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> EMENMEEMMIM <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to <br /> testing: <br /> Portion of Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Rj): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑ Fail ❑ Pass ❑Fail Q Pass ❑ Fail <br /> Is there a sensor in the sump? ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes[:]No❑NA [—]Yes❑No❑NA <br /> detected? <br /> Was sensor removed for testing? ❑Yes❑No[—INA ❑Yes❑No[:INA ❑Yes❑No❑NA ❑Yes❑No❑NA <br /> Was sensor properly replaced and ❑Yes❑No <br /> EI [:]Yes❑No❑NA ❑Yes[:]No❑NA ❑Yes❑No❑NA <br /> verified functional after testing? <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />
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