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COMPLIANCE INFO_2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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Entry Properties
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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forda416 21I e . greet ® Drop Tube Integrity®, Galt,Cu.95632 <br /> (209)744-0112(800)524-9087 FAX(209)744.0116 ® Static Torque& Rotation <br /> TEST DATE: 9-22-15 <br /> SITE NAME: TTWANA GAS TEcHNic1AN NAw:DAVE WINKLER S.TV 0082 AIR QUALITY AGENCY: <br /> Site Address: 1210 HAMMER I declare, under penalty ofperjury under the laws of the state of <br /> City:STOCKTON CA 95213 California that based on information and belief formed after INSPECTOR NAME: <br /> reasonable inquiry, the statements and information provided in v <br /> phone- the docement are true,accurate,and complete. ❑ Present ® Not Present <br /> o Q <br /> TECH SIGNATURE: ❑ Strai ht ® Overfill Prevention Device <br /> Permit Equipment: <br /> Confirmation # Facility# N372 -n <br /> ❑Incline Manometer ®Flow Meter Calibrated Daily -n <br /> DROP TUBE & OVERFILL PREVENTION VICE PRESSURE INTEGRITY TEST Q <br /> Drop Tube Drain Valve Pressure Test Drop Tube Overfill Prevention Device Test "Corrected"Overfill Device Leak Rate <br /> glow Rale 80mi/min .17 Flow Rate 200 ml/min .42 <br /> 'Time to Minus Equals <br /> R-Regular reach 2" Drain Valve Final Time to reach 2" Overfill Leak Final Overfill Device Drain Valve Corrected Lk Rate <br /> P=Plus 1120 at 80 Leak Rate Pressure H2O at 200 fnl rate Pressure Leak Rate Leak Rate for Overfill Device <br /> S=Super ml/min 2'1120-30scc 2"1120-30 Sec <br /> Tank Grade ml/min In H2O (in sec) ml/min In H2O ml/min ml/min ml/min <br /> 87 148 0 2.0 PASS <br /> 91 168 0 2.0 PASS <br /> 89 169 0 2.0 PASS <br /> STATIC TOR UF, & ROTATION N <br /> Vapor Adaptor: 1 2 3 4 Product Adaptor: 1 2 3 4 co <br /> ao <br /> Brand: PT Brand: PT 00 <br /> 00 <br /> Model- �i `! Model: E j7 R <br /> Product Grade: 87 91 89 Product Grade: 87 91 89 >' M11 <br /> V <br /> Torque 41: 20 25 35 Torque#1: 35 45 45 <br /> Torque 42: 20 25 35 Torque 92: 35 45 45 <br /> Torque#3: 20 25 35 Torque#3 35 45 45 --`)jZ <br /> Average: 20 25 35 Average: 35 45 45 rn -,P, <br /> 360 Rotation YES YES YES ___ 360 Rotation: YES YES YES ___ <br />
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