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COMPLIANCE INFO_2014-2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2014-2015
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Last modified
8/4/2021 4:36:01 PM
Creation date
6/23/2020 6:57:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2015
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2014-2015.tif
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EHD - Public
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TP-2010 lE <br /> Leak Rate and Cracking Pressure of Pressure/Vacuum Vent elves <br /> Permit Number: Test Company:]ones Covey Group; Inc. <br /> Site Name: Pilot#618 Technician: <br /> Site Address: 1501 N. Jacktone rd Certification Number Expiration Date <br /> City: Ripon Zip: 95366 District: SJV-0264 6/30/15 <br /> Date/Time of Test: 3/13114 6:30 pm a <br /> TEST INFO TION <br /> Calibration date for digital manometer(must be within 180 days of the test) 2!25!14 <br /> Ending value for digital manometer drift test(must be 0.01 in.w.c.or less) 10.00 <br /> Z Pass/Fail❑ 1 <br /> Test stand leak check(must maintain a steady pressure between 18.0 and 20.0 in.w.c.with no soap <br /> bubbles forming) <br /> P/V Valve Manufacturer: Husky Model Number: 5885 Pass ® Fail ❑ <br /> Manufacturer's Specified Positive 005 Manufacturer's Specified Negative Leak <br /> Leak)~tate(CF11): . Rate(CRH): -0.21 <br /> 1 ensured Positive Leak Rate(CFH): 0.03 Measured Negative Leak Rate(CFH): -0.10 <br /> Positive Cracking Pressurew.c. : 3.66 Negative Cracking Pressure(in.w.c.): -9.55 <br /> PN Valve Manufacturer: Model Number: Pass ❑ Fail ❑ <br /> i'4lanufacturer's Specified Positive Manufacturer's Specified Negative Leak <br /> Leak Rate(CFH): Rate(CFff): <br /> Nleasured Positive Leak Rate(CFH): Measured Negative Leak Rate(CFI-1): <br /> Positive Cracking Pressure(in.w.c.): Negative Cracking Pressure(in.w.c.): <br /> PN Valve Manufacturer: Model Number: Pass ❑ Fail ❑ <br /> Manufacturer's Specified Positive /Manufacturer's Specified Negative Leak <br /> Leak Rate(CF14): Rate CFH): 1 <br /> Measured Positive Leak Rate(CFH): Measured Negative Leak Rate(CFH): <br /> Positive Cracking Pressure(in.w.c.): Negative Cracking Pressure(in.w.c.): <br /> P/V Valve Manufacturer: /Model Number: Pass ❑ Pail _❑_ <br /> Manufacturer's Specified Positive Manufacturer's Specified Negative Leak <br /> Leak Rate(CF Rate(CFH): <br /> Measured Positive Leak Rate(CFH): Measured Negative Leak Rate(CFH): ---' <br /> Positive Cracking Pressure(in.w.c.): Negative Cracking Pressure(in.w.c.): <br /> 1 declare, under penalty of peijwy under the laws of the state of California that based on information and belief formed <br /> after reasonable inquiry, the statements and information provided in this document are true, accurate, and complete. <br /> Sionature of Technician: } Date: 3/13/14 <br /> RECEIVED <br /> JUN 16 2014 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICE8 <br />
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