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COMPLIANCE INFO_2009-2013
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2300 - Underground Storage Tank Program
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PR0232494
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COMPLIANCE INFO_2009-2013
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Last modified
11/14/2023 12:52:58 PM
Creation date
6/3/2020 9:57:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2013
RECORD_ID
PR0232494
PE
2361
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232494_7373 WEST_2009-2013.tif
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EHD - Public
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M <br />n <br />n <br />SWRCB, January 2002 Page '2—of <br />' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: <br />Hank Manufacturer 0 Industry Standard 0 Professional Engineer <br />❑ er (Specify) <br />Test Method Used: <br />0 Pressure acuum <br />❑ Other, (Spec) <br />0 Hydrostatic <br />Test Equipment Used: C--'s+V as ' taw (%u- A4 <br />Tank # ank # <br />Is Tank Exempt From Testing?t ❑YesNo ❑ Yes ❑ No <br />Equipment Resolution: 3 4 <br />ank # ank # t <br />❑ Yes 0 No \0 Yes ❑ No <br />Tank Capacity: <br />p� ll sx,� <br />Tank Material:/ <br />Tank Manufacturer: <br />0u�„1S <br />Product Stored: <br />Wait time between applying <br />pressure/ uu ater and <br />starting test: <br />LK <br />Test Start Time: <br />12- t 30 <br />Initial Reading (Rj): <br />— t o <br />Test End Time: <br />`'. 3 U <br />Final Reading (RF): <br />�„ l <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />IQ 0 La l s ;w <br />T.e Resulx: <br />Pass ❑ Fail 0 Piss: Fail <br />O P ss. Fail <br />Piss ❑ VAII <br />Was sensor removed for testing? <br />0 Yes XNo ❑ NA 0 Yes ❑ No NA <br />❑ s❑ NoVONA <br />Yes 0 No NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑ Yes 0 No �tA 0Yes ❑No A <br />Yes 0 No <br />/DYes ❑ No ❑ A <br />Comments— (include information on repairs made prior to testing, and recommended ollow-up.6 rfailed tests) <br />' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />
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