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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231585
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COMPLIANCE INFO_2021
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Last modified
12/28/2021 11:11:58 AM
Creation date
1/19/2021 8:47:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231585
PE
2361
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
01
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Test Equipment Used: Caldwell Level Change Indicator <br /> Sump/UDC ID 1-87-PS-Main 2-91-PS 3-Diesel-PS 4-87-PS-Siph <br /> Sump Manufacturer Western FG Western FG Western FG Western FG <br /> Sump Depth (inches) 36" 36" 34" 30" <br /> Sump Bottom to Top of 16" 14" 15" 13" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 8:42 8:47 9:42 9:47 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 9:12 9:17 10:12 10:17 <br /> Final Reading .001 .001 .001 .001 <br /> Change in Reading 0 0 0 0 <br /> Lss/FailCriteria > .002 > .002 > .002 > .002 <br /> htness Test Results M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Sump/UDC ID UDC 1&2 UDC 3&4 UDC 5&6 UDC 7&8 <br /> Sump Manufacturer Total Cont. Total Cont. Total Cont. Total Cont. <br /> Sump Depth (inches) 30" 30" 30" 30" <br /> Sump Bottom to Top of 11" 12" 12" 12" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 10:27 10:32 10:37 10:42 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 10:57 11:02 11:07 11:12 <br /> Final Reading .001 .001 .001 .001 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 > .002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> All tests marked "Fail'and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 3 of 5 <br />
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