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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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2300 - Underground Storage Tank Program
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PR0506406
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/5/2024 2:33:04 PM
Creation date
7/16/2020 8:46:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0506406
PE
2361 - UST FACILITY
FACILITY_ID
FA0002313
FACILITY_NAME
WILSON WAY CHEVRON
STREET_NUMBER
437
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15113052
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
Site Address
437 N WILSON WAY STOCKTON 95205
Tags
EHD - Public
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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />8. SUMP/UDC TEST (continued) <br />Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br />Test Equipment Used: <br />Sump/UDC ID <br />Sump Manufacturer <br />Sump Manufacturer <br />Sump Depth (inches) <br />Sump Depth (inches) <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />Test Start Time <br />Test Start Time <br />Initial Reading <br />Initial Reading <br />Test End Time <br />Test End Time <br />Final Reading <br />Final Reading <br />Change in Reading <br />Change in Reading <br />Pass/Fail Criteria <br />Tightness Test Results <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass M Fail <br />Lss/FailCriteria <br />htness Test Results <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Sump/UDC ID <br />Sump Manufacturer <br />Sump Depth (inches) <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />Test Start Time <br />Initial Reading <br />Test End Time <br />Final Reading <br />Change in Reading <br />Pass/Fail Criteria <br />Tightness Test Results <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass M Fail <br />❑ Pass ❑ Fail <br />Additional copies of this page may be attached. <br />All tests marked "Fail' and any repairs made before or during the tightness test must be described in <br />the COMMENTS section. <br />Page 4 of 5 <br />
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