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COMPLIANCE INFO_2019
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2300 - Underground Storage Tank Program
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PR0231669
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COMPLIANCE INFO_2019
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Last modified
11/21/2022 11:45:11 AM
Creation date
9/10/2020 1:39:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231669
PE
2361
FACILITY_ID
FA0001480
FACILITY_NAME
JACKSONS ENERGY #6822
STREET_NUMBER
2132
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17306035
CURRENT_STATUS
01
SITE_LOCATION
2132 MARIPOSA RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM(Page 4 of 6) <br /> XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ I B El C El I D <br /> A ❑ I B Lj C 1 D ❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ❑Industry Code or Engineering Standard(Specify): <br /> ❑Engineered Method(Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Vapor Recovery Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Interstitial Communication Verification Method Used: <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> Single wall <br /> XV. TURBINE I PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identi Tank ID from Section III for each Manufacturer <br /> Fiberglass A B© I C © D <br /> A B❑ I C ❑ I D❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ®Industry Code or Engineering Standard(Specify): Hydrostatic <br /> ❑Engineered Method(Specify): <br /> # <br /> Attach the testing procedures and all documentation required to determine the results. of Attached Pages <br /> Turbine 1 Product Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC UST Certification#8819839 10/25/2019 <br /> INCON TS-STS L4-Certification#1019623710 9/24/2020 <br /> XVI. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />
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