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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0505687
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COMPLIANCE INFO_2021
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Last modified
12/21/2022 9:01:20 AM
Creation date
3/3/2021 9:55:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0505687
PE
2361
FACILITY_ID
FA0006943
FACILITY_NAME
LATHROP GAS & FOOD INC
STREET_NUMBER
140
Direction
E
STREET_NAME
LATHROP
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19611007
CURRENT_STATUS
01
SITE_LOCATION
140 E LATHROP RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Test Equipment Used: Caldwell Level Change Indicator <br /> Sump/UDC ID 1-87-PS 2-91-PS 3-Diesel-PS <br /> Sump Manufacturer Unknown FGC Unknown FGC Unknown FGC <br /> Sump Depth (inches) 40" 40" 40" <br /> Sump Bottom to Top of 15" 15" 15" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 9:12 9:22 9:57 <br /> Initial Reading .001 .001 .001 <br /> Test End Time 9:42 9:52 10:27 <br /> Final Reading .001 .001 .001 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 <br /> Tightness Test Results M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID UDC 1&2 UCD 3&4 UDC 5&6 UDC 7&8 <br /> Sump Manufacturer BSYCS BSYCS BSYCS BSYCS <br /> Sump Depth (inches) 9" 9" 9" 9" <br /> Sump Bottom to Top of BP BP BP BP <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 10:07 10:12 10:17 10:22 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 10:37 10:42 10:47 10:52 <br /> Final Reading .001 .001 .001 .001 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 > .002 <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 3 of 5 <br />
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