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COMPLIANCE INFO_2017-2018
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2017-2018
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Last modified
11/14/2023 2:06:26 PM
Creation date
6/3/2020 9:56:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2018
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\Y\YOSEMITE\1777\PR0232397\RETROFIT PLAN 2017.PDF
Tags
EHD - Public
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UNDERGROUND. STORAGEPFF TANK <br /> SECONDARY CONTAINMENT TESTING REPORT.. FORM : (Page 5 of ti) <br /> "XVII F.. II:L, RISER SUMP: TESTIN © INFORMATION <br /> Manufacturer ldentlfv Tank ID from Section III for each Manufacturer <br /> A ❑ B ❑ C D ❑ <br /> A ❑ B ❑ C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ❑✓ Industry Code or Engineering Standard (Specify): <br /> PEI RP 1200 <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Fill Riser Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> See Attached <br /> XVIII <br /> COMMENT$ <br /> Provide any additional comments here. <br /> IF <br /> It Ar <br /> r <br /> DEC` 9 <br /> 8 2018 <br /> Fit <br /> IF <br /> IF <br /> XIX. VENT ITRAN51TIpN SUMP TESTING. INFORMATION <br /> Manufacturer Id ntifv Vent / Transition Sump ID from Section III for each Manufacturer <br /> a ❑ I b ❑ I c ❑ Id ❑ <br /> a ❑ I b ❑ c ❑ I d ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ❑✓ Industry Code or Engineering Standard (Specify): PEI RP 1200 <br /> ❑ Engineered Method (Specify) : <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Vent / Transition Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> See Attached <br /> IF <br /> XX COMINEN7SIF F <br /> Provide any additional comments here. <br /> ID = Identification <br />
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