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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WALNUT GROVE
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2300 - Underground Storage Tank Program
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PR0521738
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/22/2022 12:11:41 PM
Creation date
9/3/2020 10:59:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0521738
PE
2371
FACILITY_ID
FA0014762
FACILITY_NAME
JD Service Station, Inc.
STREET_NUMBER
9015
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
CURRENT_STATUS
01
SITE_LOCATION
9015 WALNUT GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Afforda � Te $ t Dynamic Back Pressure Test <br /> 416 2nd Street TP 201.4 <br /> Galt, Ca . 95632 <br /> (209) 744-0112 (800) 524-9087 FAX (209) 744-0116 ® Static Pressure Decay Test <br /> TP 201.3 <br /> Owner/Contractor/Eng : 7D SINGH TEST DATE : 9 -2648 UST ® AST ❑ <br /> SITE NAME : THORNTON CHEVRON DAVE WINKLER ❑ PT ❑ Startup Test ® Compliance Test <br /> Address : 9015 WALNUT GROVE RD <br /> City : THORNTON CA I declare, under penalty of perju7y under the laws of the state Inspector: OCTAVIO <br /> of California that based on information and belief formed <br /> Phone : after reasonable inquiry, the statements and information <br /> Contact : <br /> provided in the document are true, accurate, and complete. Present <br /> TECH SIGNATURE: <br /> Confirmation # T\ J <br /> Permit or Facility # N4975 <br /> # DISPENSERS 6 DISPENSER Make : GILBARCO NOZZLE Make: HEALY PV Valve Make: HUSKY <br /> # TOTAL NOZZLES 12 Model: Model: 900 Model: 4885 <br /> MANIFOLDED: Yes ® No ❑ BALANCE ❑ ASSIST ® Assist Type: ISD <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade 87 91 ALL Initial pressure before testing- -5.50 " we <br /> # Nozzles per Tank 12 12 12 EQUIPMENT <br /> Actual Tank Capacity 19951 11777 31728 Decay : Blockage : <br /> Gasoline Volume 18521 4264 12785 <br /> Incline Manometer ❑ Incline Manometer ❑ <br /> Ullage (Capacity minus Volume) 11430 7513 18943 <br /> Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type: 2pt EVR Coaxial E V R EVR <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure (Inches Water) 2/0 200 Equipment Calibration Date: 7-948 <br /> Drift Check End Value: 0 <br /> PSI 1 Minute (Inches Water) 2 ' 0 Nitrogen Intro. Point: <br /> PSI @ 2 Minutes 2 . 0 <br /> PSI @ 3 Minutes 2 0 Allowable Fill Time (a) 2 scfm <br /> PSI @ 4 Minutes 2 0 Time 1 : <br /> Final Pressure @ 5 Minutes (inches water) 1 . 99 Time 2 : <br /> 9 1 . 90 <br /> Allowable Final Pressure CARB Time 3 : <br /> Liquid Removal Check, Dynamic Back <br /> ------- Pressure (if due), and Parts & <br /> ------- ------- ------- PASS Repairs Are Listed on Pa a 2. <br />
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