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COMPLIANCE INFO_2003-2005
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2300 - Underground Storage Tank Program
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PR0231430
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COMPLIANCE INFO_2003-2005
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Last modified
1/2/2024 12:38:04 PM
Creation date
6/23/2020 6:48:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2005
RECORD_ID
PR0231430
PE
2361
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
01
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231430_1196 W LOUISE_2003-2005.tif
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EHD - Public
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M <br /> San Joaquin Valley Unified Air Pollution Control District <br /> Pressure Decay Test TP201.3 <br /> Confirmation No.: Testing Company: <br /> Permit No.: Address: <br /> Site Name: <br /> Address: Phone: <br /> Phone: <br /> Phase I System? 2 pt./Coaxial Tanks Manifolded? <br /> Phase II System? Balance/Assist/Other: <br /> Total Number of Nozzles <br /> Nozzles for Tank#1 Nozzles for Tank#3 <br /> Nozzles for Tank#2 Nozzles for Tank#4 <br /> Balance"Nozzle End"hoses must be drained prior to test. Number of hoses over 100ml: <br /> Tank Information 1 2 3 4 ALL <br /> 1. Product Grade <br /> 2.Actual Tank Ca2acity,gallons <br /> 3. Gasoline Volume,2allons <br /> 4. Ullage, (v)gallons(line#2 minus line#3) <br /> Test Information 1 2 3 4 5 <br /> 5. Start Time <br /> 6. Initial Test Pressure, inches H2O <br /> 7. Pressure after 1 minute, inches H2O <br /> 8. Pressure after 2 minutes, inches H2O <br /> 9. Pressure after 3 minutes,inches H2O <br /> 10. Pressure after 4 minutes, inches H2O <br /> 11. Pressure after 5 minutes, inches H2O <br /> 12 Allowable Final Pressure <br /> 13.Pass/Fail(Enter"GF"for Gross failure) <br /> Nitrogen introduction point. Phase I vapor coupler or Phase II vapor riser: ❑Phase I ❑Phase II <br /> Record Vapor Coupler Integrity Test Assembly pressure after 1 minute: <br /> Type of pressure device used: ❑Incline Manometer [:]Mechanical ❑Digital-must do drift test <br /> Enter Calibration date for pressure(s)device(90 days) <br /> Enter initial tank ullage pressure(Vent if over 0.5 in.w.c.) <br /> Enter flowmeter rate, F(Must be 1 to 5 CFM) <br /> Enter calculated ullage fill-time-t2 t2= V <br /> Enter actual fill-time [1522]F <br /> Enter ending value of drift test(Must be 0.01 in.w.c.or less) <br /> Tester: Tester ID: <br /> Signature: Test Date: <br />
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