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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0516248
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
2/23/2023 12:28:26 PM
Creation date
1/22/2021 2:20:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0516248
PE
2361
FACILITY_ID
FA0012532
FACILITY_NAME
CHEVRON STATION #209167
STREET_NUMBER
1234
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120016
CURRENT_STATUS
01
SITE_LOCATION
1234 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Spill Container Testing Report Farm <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by El Manufacturer A Industry Standard Ll Professional Engineer <br /> Test Type El Pressure 0 Vacuum 0 Hydrostatic <br /> Tank ID 91 87 <br /> Spill Container Manufacturer: oPw oPw <br /> Method of Cathodic Protection R) Nonmetallic R1 Nonmetallic Ll Nonmetallic LJ Nonmetallic <br /> U Other L! Other Ll Other LJ Other <br /> Is the spill container minimum R) yes 0 Yes Ll Yes LJ Yes <br /> capacity five gallons excluding El No* L7 No* L1 No* 0 No* <br /> riser volume? <br /> R1 Drain Z Drain Ll Drain Ll Drain <br /> Method to keep spill container Ll pump L Pump Ll Pump Il Pump <br /> empty Ll Other Lj Other 11 Other Ll Other <br /> Spill Container Test Results ® Pass Z Pass Ll Pass IJ Pass <br /> Ll Fail Lj Fail Ll Fail J Fail <br /> TankID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection L) Nonmetailic L Nonmetallic J Nonmetallic LJ Nonmetallic <br /> El Other 171 Other L1 Other 11 Other <br /> Is the spill container minimum 0 yes L2 Yes 12 Yes 11 Yes <br /> capacity five gallons excluding Ll No* LJ No* 0 No* Il No* <br /> riser volume? <br /> Ll Drain El Drain Ll Drain Il Drain <br /> Method to keep spill container Ll pump El Pump Ll Pump J Pump <br /> empty D Other E) Other ZI Other Ell Other <br /> Spill Container Test Results 11 Pass E) Pass 13 Pass A Pass <br /> LJ Fail U Fail LJ Fail Il Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other,""No,"or"Fail'and each proposed remedy. <br /> * Mark here if: <br /> F1 Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />
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