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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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Entry Properties
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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. t <br /> Afforda T et 416 2nd Street Z Drop Tube Integrity <br /> .. Galt, Ca. 95632 Static Torque & Rotation <br /> (Z09) 744-0112 (800) 524-9087 FAX (209) 7444116 <br /> TEST DATE: 10448 <br /> TECHNICIAN NAME: <br /> SITE NAME : JOE ' S TRAVEL PLAZA AIR QUALITY AGENCY: SJV <br /> DAVE WINKLER <br /> Site Address 15600 S HARLAN RD I declare. under penalty of perjury under the laws of the state of INSPECTOR NAME <br /> City: LATHROP CA 95330 California that based on information and belief formed after <br /> reasonable inquiry, the statements and information provided in <br /> Phone: the document are trite, accurate, and complete. <br /> TECH SIGNATURE; ❑ Straight Overfill Prevention Device <br /> Confirmation # Permit Equipment: <br /> Facili # N372 ❑ Incline Manometer ®Flow Meter Calibrated Dail <br /> DROP TUBE & OVERFILL PREVENTION DEVICE PRESSURE INTEGRITY TEST <br /> Drop Tube Drain Valve Pressure Test Drop Tube Overfill Prevention Device Test 6dCorrected" Overfill Device Leak Rate <br /> Flow Rate 80mllmin . 17 Flow Rate 200 ml/min .42 <br /> R-Regular Time to DiValve Minus Equals <br /> Drain ave Final <br /> reach 2 Final Time to reach Z" Overfill Leak Overfill Device Drain Valve Corrected LkRate <br /> P=Plus <br /> A20 at 80 Leak Rate Pressure H2O at 200 ml rate Pressure Leak Rate Leak Rate for Overfill Device <br /> S=Super ml/min T' H2O — 30 sec 2" H2O — 30 Sec <br /> Tank Grade ml/min In H2O (in sec) mUmin In H2O ml/min ml/min ml/min <br /> 87W 168 0 2.0 PASS <br /> 149 0 2.0 PASS <br /> 87 E <br /> 91 E169 0 2.0 PASS <br />
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