My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2021
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
A
>
ACACIA
>
525
>
2300 - Underground Storage Tank Program
>
PR0231002
>
COMPLIANCE INFO_2021
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/10/2021 8:59:18 AM
Creation date
1/27/2021 2:11:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231002
PE
2361
FACILITY_ID
FA0002864
FACILITY_NAME
DAMERON HOSPITAL
STREET_NUMBER
525
Direction
W
STREET_NAME
ACACIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13715304
CURRENT_STATUS
01
SITE_LOCATION
525 W ACACIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
68
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Underground Storage Tank <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: Vacuum Pump/Vacuum Gauge in Hg. <br /> Tank ID 1-Fuel Oil <br /> Tank Manufacturer Mod Wld-Dwst <br /> Tank Capacity 6K <br /> Test Start Time 9:00 <br /> Initial Reading -6" Hg. <br /> Test End Time 10:00 <br /> Final Reading -6" Hg. <br /> Change in Reading 0 <br /> Pass/Fail Criteria No Loss <br /> Tightness Test Results ® Pass ❑ Fail I ❑ 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: Pressure Gauge in Psi/Nitrogen <br /> Pipe Run ID 1-Fuel Oil-S 2-Fuel Oil-R <br /> Pipe Manufacturer Ameron FRP Ameron FRP <br /> Test Start Time 8:55 8:55 <br /> Initial Reading 5 Psi 5 Psi <br /> Test End Time 9:55 9:55 <br /> Final Reading 5 Psi 5 Psi <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria No Loss No Loss <br /> Tightness Test Results © 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 ❑ 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 2of5 <br />
The URL can be used to link to this page
Your browser does not support the video tag.