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COMPLIANCE INFO_2016-2017
EnvironmentalHealth
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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2016-2017
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Last modified
8/11/2021 8:36:01 AM
Creation date
6/23/2020 6:57:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2017
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_2016-2017.tif
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EHD - Public
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7) <br />SWRCB, January 2002 P, <br />`� Page of i <br />4. TANK ANNULAR TESTING DEC ® 2010 <br />Test Method Developed By: Q Tank Manufacturer IN Industry Standard ❑ Professional F <br />❑ Other (Specify) , = X" <br />Test Method Used: ❑ Pressure I9 Vacuui 01U�_ Atahc <br />Q Other {Specify) <br />Test Equipment Used: Analog Gauge Equipment Resolution: +/- 0.25 <br />Is Tank Exempt From Testing?' <br />Tank # 9/ Premium <br />W Yes ❑ No <br />Tank # Diesel <br />R9 Yes ❑ No <br />Tank # <br />❑ Yes D No <br />Tank # <br />❑ Yes n No <br />Tank Capacity: <br />12,000 <br />12,000 <br />Tank Material: <br />Fiberglass <br />Fiberglass <br />Tank Manufacturer: <br />Unknown <br />Unknown <br />Product Stored: <br />91 Premium <br />Diesel <br />Wait time between applying <br />pressure/vacuum/water and <br />startm test: <br />Test Start Time: <br />initial Reading (R): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Ri): <br />Pass/Fait Threshold or Criteria: <br />Test R�suit:. <br />❑Pass . ❑ Fsii . <br />❑ Pas .. `[1 Fail.. , <br />❑Pass fl Fail <br />fl Pass .:[7 Fail <br />Was sensor removed for testing? <br />❑ Yes ❑ No 09 NA <br />Q Yes o No ® NA <br />Q Yes QNo DNA <br />❑ Yes ❑ No 0 N <br />Was sensor properly replaced and <br />verified functional after testing? <br />Q Yes ❑ No 0 NA <br />Q Yes ❑ No Ig NA <br />Q Yes ❑ No DNA <br />❑Yes ❑ No ❑ NA <br />Comments — (include information on 1 epmrs made prior to testing and recommended follow-up forfailed tests) <br />1 Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(ax6)} <br />
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