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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PICCOLI
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1990
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2300 - Underground Storage Tank Program
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PR0231820
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
3/8/2021 9:27:37 AM
Creation date
6/18/2020 9:46:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231820
PE
2361
FACILITY_ID
FA0003826
FACILITY_NAME
Supervalu
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10121001
CURRENT_STATUS
01
SITE_LOCATION
1990 N PICCOLI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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I TAI T <br /> Test Date: 11/19/2020 <br /> LEAK DETECTOR TESTING <br /> Facility ID: 01 Client Name: Unified Grocers, Inc <br /> Street Address: 1990 Piccoli Rd. Technician: Jaime Jaurequi <br /> City: Stockton ICC #: 8340695 <br /> Zip Code/State: 95215 / CA Manufacturer Cert#: 1012613712/4182 <br /> Test Information <br /> Product T1 Diesel T1 Diesel <br /> Manufacturer Vaporless FE Petro <br /> Model 99-LD3000 STP-MLD-D <br /> New Leak Detector No No <br /> Yes/No <br /> Serial Number 00310065 MH1393 <br /> Electronic LD No No <br /> (Yes/No <br /> Calibrated Test Leak <br /> Rate: (189 mil/min Yes Yes <br /> 10 PSI) (Yes/No) <br /> Check Valve Holding 41 30 <br /> PSI <br /> Resiliency 450 130 <br /> (Bleed Back MIL) <br /> Slow Flow 26 12 <br /> Metering PSI / N/A <br /> Turbine Shut Down <br /> Electronic LD N/A N/A <br /> Yes/No/NA <br /> Slow Flow At Nozzle Yes Yes <br /> (Yes/No/NA) <br /> Opening Time 3 3 <br /> (Seconds) <br /> Pass/Fail Pass Pass <br /> ❑Check If Action Items)Are Present <br /> This letter certifies that the annual leak detector tests were performed at the above referenced facility <br /> according to the equipment manufacturers procedures and limitations and the results as listed are to my <br /> knowledge true and correct. The leak detector test pass/fail is determined using a low flow threshold trip <br /> rate of 3 gph at 10 PSI. <br /> Technician Signature: Date: 11/19/2020 <br /> CA IIc# 588098 1 AZ licb 095984 1 NV Ilca 0049666 1 TX Ilca CR0000041 <br />
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