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COMPLIANCE INFO_2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231736
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COMPLIANCE INFO_2019
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Last modified
9/14/2020 11:56:09 AM
Creation date
9/14/2020 11:21:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231736
PE
2361
FACILITY_ID
FA0002562
FACILITY_NAME
Sutter Valley Hospitals dba Sutter Tracy Community Hospital
STREET_NUMBER
1420
Direction
N
STREET_NAME
TRACY
STREET_TYPE
Blvd
City
Tracy
Zip
95376
APN
233-081-01
CURRENT_STATUS
01
SITE_LOCATION
1420 N Tracy Blvd
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 5 of 6) <br /> XVII . FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ I B ❑ C ❑ D ❑ <br /> A ❑ I B ❑ I C ❑ D ❑ <br /> Test Method Used : El Manufacturer Guidelines (Specify) : <br /> ❑ Industry Code or Engineering Standard (Specify) : <br /> ❑ Engineered Method (Specify) : <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Fill Riser Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> XVIII , COMMENTS <br /> Provide any additional comments here. <br /> NA-Section IlkNo Fill Riser Containment Sump at this UST Facility . <br /> XIX. VENT / TRANSITION SUMP TESTING INFORMATION <br /> Manufacturer Identify Vent / Transition Sump ID from Section III for each Manufacturer <br /> a ❑ Ib ❑ c ❑ d ❑ <br /> a ❑ I b ❑ c ❑ I PPR d ❑ <br /> Test Method Used : p Manufacturer Guidelines (Specify) : <br /> ❑ Industry Code or Engineering Standard (Specify) : <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Vent / Transition Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> XX . COMMENTS <br /> Provide any additional comments here. <br /> NA-Section III -No Vent/Transition Piping Sump at this UST Facility . <br /> ID = Identification <br />
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