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COMPLIANCE INFO_2002-2007
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2300 - Underground Storage Tank Program
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PR0516354
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COMPLIANCE INFO_2002-2007
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Last modified
4/7/2021 11:44:26 AM
Creation date
6/3/2020 10:00:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2007
RECORD_ID
PR0516354
PE
2361
FACILITY_ID
FA0012437
FACILITY_NAME
CHEVRON 352324
STREET_NUMBER
3304
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95219
APN
07120013
CURRENT_STATUS
01
SITE_LOCATION
3304 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0516354_3304 W HAMMER_2002-2007.tif
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EHD - Public
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Afforda-Te$t 416 2nd Street X Dynamic Back Pressure Test <br /> Galt,California 95632 <br /> (209) <br /> E 74470112 (800)524-9087 FAX(209)794-0116 "- Static Pressure Decay Test <br /> Owner/Contractor/Eng: TESTDATE: Mme,, 1 C C)O 7 UST (ST30) AST (sT38) <br /> SITE NAME:I 0 rn TnC PT X I Initial Test I LcomplianceTest AIR QUALITY AGENCY: <br /> Address:3304 IPJ YLv-n -t4 g sy q <br /> city: 1 i TECHNICIAN NAME: ZA <br /> Zane A. Nimmo <br /> Phone: ( ) _ P <br /> tion# resentL Not Present <br /> Contact: TECH SIGNATURE: Permit or Facili # A)- <br /> STATIC PRESSURE DECAYTEST DATA 1 confirmation# p L <br /> #DISPENSERS DISPENSER Make.- hr NOZZLE Make. r M c® PV Valve Make: - L� <br /> # TOTAL NOZZLES 5 Model: Model: 0 05 Model: <br /> MANIFOLDED: Yes , No LlBALANCE X ASSIST Assist Type: <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL Initial pressure before testing- "we <br /> Product Grade <br /> EQUIPMENT <br /> # Nozzles per Tank Decay: Blockage: <br /> Actual Tank Capacity c2 -3103 Incline Manometer Incline Manometer <br /> Gasoline Volume <br /> 7 i Ma ehelic Gua e Ma nehelic Gua � <br /> Ulla a ca flciri minus vomme 1 b 2 (� � ! <br /> Equipment Calibration Date: Q <br /> Phase I Svstem Type: 2 t EVR Coaxial �v <br /> Initial Test Pressure (Inches)Vater) 2/0 Allowable Fill'Time @ <br /> PSI a, I Minute (Inches water) ' ,C rA 2 SCF1�ij — 7� M,w/l o ¢� <br /> PSI C 2 Minutes � q� Time l:SCFM -lif1� �—J�-l�►V_✓ <br /> PSI a 3 Minutes t Time 2: <br /> PSI a 4 Minutes q Time 3: <br /> Final Pressure a 5 Minutes (Inches Rater <br /> Allowable Final Pressure (CARB) - Liquid Removal Check, Dynamic Back <br /> Pass / Fail Pass / Fail Pass / Fail Pass / Fail Lass / Fail Pressure (if due),Nand Parts & <br /> Repairs Are Listkd on Back <br />
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