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COMPLIANCE INFO_2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
9/17/2020 12:52:03 PM
Creation date
9/17/2020 11:38:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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be/shiire 25971 Towne Centre Drive <br /> Foothill Ranch,CA 92610 <br /> environmental services,Inc. (949)460.5200 <br /> Turbine/Piping Sump Integrity Testing <br /> Hydrostatic Testing Method <br /> Facility: Kaiser Manteca Date: 4/24/2019 <br /> Address: 1777 W, Yosemite Avenue Testing Company: Belshire Environmental Services, Inc. <br /> City, State,Zip: Manteca, CA 95337 Tester Name: Saul Gonzalez <br /> This test is performed in accordance with PEI/RP1200. See Section 6.5 for the test method and procedures. <br /> Containment Sump ID DSL PS <br /> Exempt from Testing No <br /> Containment Sump Total <br /> manufacturer Containment <br /> Containment Sump Fiberglass <br /> material <br /> Liquid and debris Yes <br /> removed from sump?" <br /> Visuallnspection# Pass <br /> Containment Sump 43.5" <br /> Depth <br /> Height From Bottom to <br /> Top of Highest 21" <br /> Penetration <br /> Test Start Time 08:03 AM <br /> Starting Water Level 5.2388 <br /> Test End Time 08:18 AM <br /> Ending Water Level 5.2388 <br /> Water Level Change 0.0000 0.0000 0.0000 0.0000 0.0000 <br /> Test Period 15 Minutes 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> Pass/fail criteria:Must pass visual inspection.Water level drop of less than 0.002 inches. <br /> Tact results P st Dl 1 �1{"f� i t D Pait ❑P ssO)Fail D PassD7 Fail D PaSSC.21 ail <br /> Comments: <br /> *All liquids and debris must be disposed of properly. <br /> #No cracks,loose parts or separation of the containment sump. <br /> Technician Signature: �. Date: 4/24/2019 <br /> 1 <br />
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