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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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PR0231438
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/27/2021 8:16:46 AM
Creation date
3/29/2021 11:27:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231438
PE
2361
FACILITY_ID
FA0003716
FACILITY_NAME
SUPER STOP GAS & LIQUOR*
STREET_NUMBER
290
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22309101
CURRENT_STATUS
01
SITE_LOCATION
290 N MAIN ST STE C
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\kblackwell
标签
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 <br />1 -PS -91 <br />2-PS-Dsl. <br />3 -PS -87 <br />Bravo <br />Sump Manufacturer <br />Western FG <br />Western FG <br />Western FG <br />10" <br />Sump Depth (inches) <br />54" <br />54" <br />55" <br />BP <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />26" <br />15" <br />21" <br />9:37 <br />Test Start Time <br />9:32 <br />8:47 <br />8:42 <br />.001 <br />Initial Reading <br />.001 <br />.001 <br />.001 <br />10:07 <br />Test End Time <br />10:02 <br />9:17 <br />9:12 <br />.001 <br />Final Reading <br />.001 <br />.001 <br />.001 <br />0 <br />Change in Reading <br />0 <br />0 <br />0 <br />> .002 <br />Pass /Fail Criteria <br />> .002 <br />> .002 <br />> .002 <br />® Pass ❑ Fail <br />Tightness Test Results <br />M Pass ❑ Fail <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Sump/UDC ID <br />UDC 1&2 <br />UDC 3&4 <br />UDC 5&6 <br />UDC 7&8 <br />Sump Manufacturer <br />Bravo <br />Bravo <br />Bravo <br />Bravo <br />Sump Depth (inches) <br />10" <br />10" <br />10" <br />10" <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />BP <br />BP <br />BP <br />BP <br />Test Start Time <br />8:52 <br />8:57 <br />9:37 <br />9:42 <br />Initial Reading <br />.001 <br />.001 <br />.001 <br />.001 <br />Test End Time <br />9:22 <br />9:27 <br />10:07 <br />10:12 <br />Final Reading <br />.001 <br />.001 <br />.001 <br />.001 <br />Change in Reading <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />> .002 <br />> .002 <br />> .002 <br />> .002 <br />Tightness Test Results <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />® 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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