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COMPLIANCE INFO_2021
EnvironmentalHealth
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WALNUT GROVE
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2300 - Underground Storage Tank Program
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PR0521738
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/3/2022 3:52:27 PM
Creation date
4/1/2021 8:55:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0521738
PE
2371
FACILITY_ID
FA0014762
FACILITY_NAME
JD Service Station, Inc.
STREET_NUMBER
9015
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
CURRENT_STATUS
01
SITE_LOCATION
9015 WALNUT GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Permit#SR0083600/6/29/21 Spill Container Inspection Report <br /> Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ® Manufacturer © Industry Standard ® Professional Engineer <br /> Test Type ® Pressure ® Vacuum ® Hydrostatic <br /> Tank ID 87 <br /> Spill Container Manufacturer: Phil-rite <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ❑ Nonmetallic ® Nonmetallic <br /> ❑ Other ❑ Other ® Other ❑ Other <br /> Is the spill container minimum ® Yes ® Yes ® Yes ❑ Yes <br /> capacity five gallons excluding ® No* ® No* ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump r] Pump El Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results 0 Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> El Other ® Other ❑ Other ❑ Other <br /> Is the spill container minimum ® Yes ® Yes ❑ Yes ® Yes <br /> capacity five gallons excluding ❑ No* ® No* ® No* ® No* <br /> riser volume? <br /> Method to keep spill container ® Drain ® Drain ® Drain ® Drain <br /> empty ® Pump ® Pump U7 Pump 17 Pump <br /> ❑ Other ❑ Other ® Other ❑ Other <br /> Spill Container Test Results ❑ Pass ® Pass ❑ Pass ❑ Pass <br /> ❑ Fail ® Fail I ® Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No," or "Fail'and each proposed remedy. <br /> * Mark here if: <br /> ® S ill 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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