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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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24323
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2300 - Underground Storage Tank Program
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PR0231947
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/19/2024 1:51:15 PM
Creation date
7/2/2021 4:13:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231947
PE
2361
FACILITY_ID
FA0004345
FACILITY_NAME
JAHANT FOOD N FUEL STOP
STREET_NUMBER
24323
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00516019
CURRENT_STATUS
01
SITE_LOCATION
24323 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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fforda - Tet 4162 Street Phone : (209) 744-0112 LINE & LEAK DETECTOR <br /> Galt, Ca 95632 Fax: (209) 744-0116 TEST REPORT <br /> afforda@softeom.net <br /> CONTRACTOR/ ENGINEER TEST DATE 4/ 11 /2019 <br /> SITE : JAHANT FOOD AND FUEL <br /> 24323 N . HWY 99 ACAMPO , CA 95220 <br /> Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ® Owners Request <br /> F] Insurance [] Escrow SHOW STREETS, BLDGS , TANKS , ISLANDS , PIPING (IF KNOWN), PUMPS OR DISPENSERS <br /> ® I Other IN LUE OF Shut Down <br /> Make & Type of Pump or Dispenser <br /> RED JACKET <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 2 - 4 FEET <br /> Weather <br /> SUNNY , MILD <br /> Pressure ® Suction <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION to PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E DSL B 160 3 189 / 1 20 21 PASS <br /> C FXI V <br /> D FXI DV 87 B 120 8 189 / 1 30 20 PASS <br /> E STPMLD <br /> F STPMLD — D 89 B 150 15 189 / 1 32 20 PASS <br /> G STPMLD — E 91 B 120 3 189 / 1 27 23 PASS <br /> H STPMLD—D/E Notes : <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technicians Tests were made on the line systems as noted in accordance with test procedures <br /> Zane A.Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> OTTL License #: 044676 <br /> PETROTITE CERT. ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> #: CCA0202112304R DIESEL NPASS ❑ FAIL ❑ INCONCLUSIVE • 0000 <br /> ICC# 8883064-UT <br /> Trainee : CHRIS MONTERO ❑ PASS ❑ FAIL ❑ INCONCLUSIVE <br /> ❑PASS ❑ FAIL ❑ INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE ❑ PASS []FAIL ❑ INCONCLUSIVE <br /> TESTER <br /> Notes : <br />
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