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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0232587
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/24/2022 3:14:06 PM
Creation date
1/19/2021 9:52:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0232587
PE
2361
FACILITY_ID
FA0004521
FACILITY_NAME
CHEVRON USA #201761*
STREET_NUMBER
1103
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
21935038
CURRENT_STATUS
01
SITE_LOCATION
1103 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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f <br /> Underground Storage Tank <br /> i <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY.CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Tank ID 87-1 87-2 91 <br /> Tank Manufacturer <br /> Tank Capacity <br /> Test Start Time 8:25 8:41 8:41 <br /> Initial Reading 10"hg 10"hg 10"hg <br /> Test End Time 9:25 9:41 9:41 <br /> Final Reading 10"hg 10"hg 10"hg <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results ® Pass ❑ Fall ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7, PIPE"SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Pipe Run ID 87-1 87-2 91 <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 8:30 8:30 8:30 <br /> Initial Reading 5 5 5 <br /> Test End Time 9:30 9:30 9:30 <br /> Final Reading 5 5 5 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results 1 ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> Pipe Run ID <br /> Pipe Manufacturer <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail I ❑ 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 2 of 5 <br />
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