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COMPLIANCE INFO_2018
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2018
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Last modified
3/8/2021 4:41:49 PM
Creation date
6/23/2020 6:43:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231125_1210 E HAMMER_2018.tif
Tags
EHD - Public
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San Joaquin Vaney HEALT AIR LIVING <br /> www,he nit hyairliving.cam <br /> G <br /> _ AIR POLLUTION CONTROL DISTRICT Make one change for clean aitl <br /> TP-201.6C or EVR LiquidRemoval Test <br /> Liquid Removal Rate Rcport Form <br /> J'ermitNumber:N87-1-5 Test Company:AFFORDA TEST v <br /> Mite Name:TTWANA GAS&FOOD VALERO Technician: FELIX RAMIREZ <br /> o,ite Address: 1210 HAMMER LANE Certification Number: 0099 Expiration Date: 2018 Q <br /> Co,aty:STOCKTON CA Zip: 95213 District:0099 2018 <br /> o)ate/Time of Test:9-12-17 VST(if applicable): 1361 2018 0 <br /> C�l __ p <br /> TEST INFORMATION Q <br /> =^hase II vapor recovery system executive order: ❑ G-70-52(Pre-Phase II EVR balance for AST&UST) X VR-203/204(VST Phase Il EVR balance) <br /> 0 <br /> ------- ...---._._ <br /> EVR Short Dispensing VI—VW—VF <br /> Version ** VI O T Rate VF Wi Wr VW G <br /> Nozzle Fuel - — -- ---- / <br /> Number Grade Volume of Gras added to hose Gallons Time to G x 60 Gas drained Gas introduced Fail <br /> Gas Liquid removal <br /> Pass <br /> Gas drained dispense after after dispensing Wi-Wr <br /> from hose ml (150—175 ml) dispensed sec. T dispensing 150—175 mt recovered rate(muga[) <br /> I ALL 0 PASS <br /> 2 ALL 0 PASS <br /> 3 ALL 0 PASS <br /> 4 ALL 0 PASS <br /> 5 ALL 0 PASS <br /> 6 ALL 0 PASS <br /> 7 ALL 0 PASS <br /> 8 ALL 0 PASS (.0 <br /> 03 <br /> 03 <br /> co <br /> co <br /> t declare, under penalty of per jury under the laws of the state of California that based on information and belief formed after reasonable inquiry, the staterrr'odwnd �— <br /> informationprovided in this document are true, accurate, and complete. t e <br /> 9112117 <br /> Signature of Technician: <br /> t <br /> * NOTE: For EVR systems—Prior to the Leak Decay Test,if the liquid drained from the.hose is<25 mi,record the amount in the EVR short version column,mark the <br /> test as pass,and no further testing is required. <br />
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