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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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PR0526212
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COMPLIANCE INFO_2021
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Last modified
8/4/2021 1:58:42 PM
Creation date
2/25/2021 4:42:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0526212
PE
2351
FACILITY_ID
FA0017737
FACILITY_NAME
CHEVRON STATION #307709*
STREET_NUMBER
10858
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602015
CURRENT_STATUS
01
SITE_LOCATION
10858 TRINITY PKWY
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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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 I D T1 REG. T2 SUP. T3 DSL <br /> Spill Container Manufacturer: oPw oPw oPw <br /> Method of Cathodic Protection R) Nonmetallic R1 Nonmetallic ® Nonmetallic LJ Nonmetallic <br /> L-3 Other L Other Ll Other LJ Other <br /> Is the spill container minimum R) yes 0 Yes ® Yes LJ Yes <br /> capacity five gallons excluding El No* L7 No* L1 No* 0 No* <br /> riser volume? <br /> R1 Drain Z Drain R1 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 /> S ® Pass Z Pass ® Pass IJ Pass <br /> Spill Container Test Results <br /> Ll Fail Lj Fail Ll Fail J Fail <br /> TankID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection L) Nonmetailic L Nonmetallic Ll Nonmetallic LJ Nonmetallic <br /> El Other El Other El Other 11 Other <br /> Is the spill container minimum El yes 12 Yes EJ Yes 11 Yes <br /> capacity five gallons excluding Ll No* Ll 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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