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COMPLIANCE INFO_1986-1996
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231127
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COMPLIANCE INFO_1986-1996
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Last modified
3/10/2021 12:21:10 PM
Creation date
6/23/2020 6:44:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-1996
RECORD_ID
PR0231127
PE
2361
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
01
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231127_1612 W HAMMER_1986-1996.tif
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EHD - Public
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2�• <br />28. <br />DATE <br />TIME <br />(24 hr.) <br />LOG OF TEST PROCEDURES <br />(Supplemental) <br />Record details of setting up <br />and running test. (Use full <br />length of line it needed ) <br />29. <br />Reading <br />No. <br />30. HYDROSTATIC <br />PRESSURE <br />CONTROL <br />Standpipe Level <br />in Inches <br />31. <br />VOLUME MEASUREMENTS (V) <br />RECORD TO 001 GAL, <br />Product in <br />32. 33. Product <br />Graduate Replaced (-1 <br />Before After Product <br />Reading Reading Recovered (-) <br />34. <br />TEMPERATURE COMPENSATION <br />USE FACTOR tat <br />35. 36. 37• <br />Change Computation <br />Thermal Higher • (c) _ (a) ° <br />Sensor Lower - Ex ansion <br />p <br />Reading Ic) Contraction - <br />38. NET VOLUME <br />CHANGING <br />EACH READING <br />Temperature <br />Adjustment <br />Volume Minus <br />Ex ansion I-) or <br />p <br />Contraction (-) <br />033(V) — M37(T) <br />39. <br />ACCUMULATED <br />CHANGE <br />At Low Level compute <br />Change per Hour <br />(NFPA criteria) <br />Beginning <br />of <br />Reading <br />Level to <br />which <br />Restored <br />1 <br />or <br />7-4� <br />7 <br />/ <br />/O <br />zs)d <br />I?co 161, <br />//0&) <br />P" &A7 <br />21 <br />P -T Tank Test Data Chart 2. Statement: <br />Additional info ❑ Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />regulatory agency. This is not intended to indicate permission <br />of a leak. <br />1. Net Volume Change at Conclusion of Precision Test gph OR <br />❑ Tank and product handling system has failed the tank tightness <br />Signature of Tester: test according to the Precision Test Criteria as established by <br />Date: regulatory agency. <br />OR <br />❑ Test invalid due to environmental or mechanical factors beyond <br />PN6829 control of the testing equipment. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. The manufacturer of this test method does not assume <br />any responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date <br />n <br />
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