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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0506488
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/19/2024 1:51:17 PM
Creation date
1/13/2021 7:40:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0506488
PE
2361
FACILITY_ID
FA0007458
FACILITY_NAME
7-ELEVEN INC #32190
STREET_NUMBER
4943
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
4943 S HWY 99
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Healy Exhibit 8 <br /> Required Items in Conducting TP-201 . 3 <br /> (Executive Orders VR-201 -M and VR-202-M) <br /> The instructions below are required when conducting TP-201 . 3 for these systems , The tester shall document that each step was <br /> followed as indicated below and shall include this page of the Exhibit with the submission of TP-201 . 3 test results . Note that <br /> districts may require use of an alternate form to meet these requirements , provided the alternate form includes the same <br /> minimum parameters . <br /> Prior to conducting TP-201 . 3 , all four ball valves on the Healy Clean Air Separator (CAS) shall be closed , as shown in <br /> 1 . Figure 1 or Figure 1 H , to isolate it from the Underground Storage Tank (UST) system to permit the pressurization of the <br /> UST system . Figure 1 applies to vertical CAS installations and Figure 1 H applies to horizontal CAS installations . <br /> 2m Conducting TP-201 . 3 with any dispenser piping test valve in the closed position is not permitted . Any dispenser with a <br /> dispenser piping test valve in the closed position while conduction TP-201 . 3 will bias the test towards compliance . <br /> After conducting TP-201 . 3 , the four ball valces on the Healy Clean Air Seperator (CAS) shall be locked in their normal <br /> 3 . operating positions as shown in Figure 28-2 or 213-21-1 , Exhibit 2 of Executive Orders VR-201 - M and VR-202-M . Figure 26- <br /> 2 applies to vertical CAS installations and Figure 2B-2H applies to horizontal CAS installations . <br /> Required Steps Verification <br /> - - - ---- -- --- <br /> 1 .All four CAS ball valves closed before conducting TP-201 . 3 Yes <br /> 2 . All dispenser piping test valves open before conducting TP-201 . 3 Yes <br /> 3 . All four CAS ball valves in normal operating positions after conducting TP-201 . 3 Yes <br /> Test Company : TANKNOLOGY INC . Facility Name : 7-ELEVEN #32190 , MKT 2368 <br /> Tim Elebeck ti �7� „ 10/15/2018 <br /> Print Name (Technician) Signature Date <br /> 8001435 1 /26/2020 <br /> Technician Certification Number Expiration Date <br /> ([CC or District Training Certification , as applicable) <br /> i <br /> i <br /> Items Required in Conducting TP-201 . 3 , Exhibit 8 - Executive Orders VR-201 -M and VR-202- M <br /> WO : 2338552 <br />
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