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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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PR0231604
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COMPLIANCE INFO_2021
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Last modified
8/16/2023 4:46:10 PM
Creation date
2/3/2021 2:42:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231604
PE
2361
FACILITY_ID
FA0000650
FACILITY_NAME
GAS & SHOP
STREET_NUMBER
1002
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102012
CURRENT_STATUS
01
SITE_LOCATION
1002 FRONTAGE RD
P_LOCATION
05
P_DISTRICT
004
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, SUMPIUDO TEST (continued) <br /> Test Method Developed by ®' Manufacturer L7 Industry Standard T: Professional Engineer <br /> Test Type M Pressure L7 Vacuum L7 Hydrostatic <br /> Test Equipment Used: <br /> Sump/UDC ID udc 13-14 udc 15-16 udc 17-18a udc 18-19a <br /> Sump Manufacturer S Bravo S Bravo S Bravo <br /> Sump Depth (inches) 2811 2811 28" 2811 <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) 811 1811 8" <br /> Test Start Time <br /> 11:30am ji1:30 am 11:30 am 1:00 Pm <br /> Initial Reading 12" 1211 1211 1211 <br /> Test End Time 12:00 m 12:00 pm 12:00 pm 1:30 pm <br /> Final Reading 1211 12" 1211 12" <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria 2 2 2 2 <br /> Tightness Test Results 0 Pass R7 Fail F1 Pass r Fail M Pass V Fail Ll Pass 17 Fail <br /> Sump/UDC ID udc 19-20a udc 20-21a udc 21-22a udc <br /> Sump Manufacturer S Bravo S Bravo <br /> Sump Depth (inches) 2811 2811 „ 11 <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) 811 811 811 811 <br /> Test Start Time 1:00 m 1:00pm 1:30 pm 1:30 pm <br /> Initial Reading 1211 12' 1211 12' <br /> Test End Time 1:30 m1:30 m 2:00 m 2:00 m <br /> Final Reading 12" 12" 12" 1211 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria 2 2 2 <br /> Tightness Test Results IZ Pass Fail Ll Pass Fail Pass 17 Fail Pass L7 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 4 of 5 <br />
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