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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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4469
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2200 - Hazardous Waste Program
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PR0540786
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COMPLIANCE INFO_PRE 2019
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Last modified
9/24/2020 5:17:57 PM
Creation date
9/24/2020 4:28:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0540786
PE
2220
FACILITY_ID
FA0019881
FACILITY_NAME
FARMINGTON CIRCLE K
STREET_NUMBER
4469
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
FARMINGTON
Zip
95230
APN
18713010
CURRENT_STATUS
01
SITE_LOCATION
4469 S ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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AllArbAmbords - Te � Dynamic Sack 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 : TEST DATE : 9/24/09 TIME : 1430 UST ❑ AST <br /> SITE NAME : FARMINGTON SHELL -- <br /> TECHNICIAN NAME: <br /> ❑ PT ® Startup Test ❑ Compliance Test <br /> CIRCLE K Zane A . Nimmo SJV#0083 Exp 02/27/ 10 <br /> Address : 4391 ESCALON BELLOTA RD . <br /> City : FARMINGTON, CA 95236 I declare, under penalty ofperjury under the laws of the state <br /> of California that based on information and belief formed Inspector: <br /> Phone : after reasonable inquiry, the statements and information <br /> Contact: <br /> provided in the document are true, accurate, and complete. Present ❑ Not Present <br /> Confirmation # 09 - 10331 TECH SIGNATURE: <br /> Permit or Facility # N 7987 <br /> # DISPENSERS 6 DISPENSER Make : WAYNE NOZZLE Make : HEALY PV Valve Make : HUSKY <br /> # TOTAL NOZZLES 12 Model: Model: 400 Model: 5885 <br /> MANIFOLDED: Yes ® No ❑ BALANCE ® ASSIST ❑ Assist Type: <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade 87 91 ALL Initial pressure before testing- + 1 .52 " we <br /> # Nozzles per Tank 12 - 12 <br /> EQUIPMENT <br /> Actual Tank capacity 149095 69009 2004 1 20 , 104 Decay . Blockage : <br /> Gasoline Volume 8 185 2 092 10 277 10 277 <br /> > > > > Incline Manometer ❑ Incline Manometer ❑ <br /> Ullage (Capacity minus Volume) 5 910 3 917 9 827 9X7> > > > Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type: 2pt EVR Coaxial2 -PT 2 -PT 2-PT <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure (Inches water) 2/0 2 . 0 Equipment Calibration Date : 8/3/09 <br /> 1 . 98 Drift Check End Value : .00 <br /> PSI na 1 Minute (inches water) Nitrogen Intro. Point: VA <br /> PSI @ 2 Minutes 1 . 96 <br /> PSI @ 3 Minutes 194 Allowable Fill Time 2 scfm 6 : 27 <br /> PSI @ 4 Minutes 1 . 94 Time 1 : 2 :33 <br /> Final Pressure @ 5 Minutes (inches water) I . 94 Time 2 : <br /> Allowable Final Pressure (CARS) 1 . 84 Time 3 : <br /> Liquid Removal Check, Dynamic Back <br /> ------- Pressure (if due), and Parts & <br /> ------- -- ----- ------- <br /> PASS Repairs Are Listed on Page 2. <br />
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