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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231766
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COMPLIANCE INFO_2021
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Last modified
9/6/2022 3:00:53 PM
Creation date
10/14/2021 10:56:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231766
PE
2361
FACILITY_ID
FA0003717
FACILITY_NAME
CHEVRON STATION #99840*
STREET_NUMBER
4344
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95215
APN
10102156
CURRENT_STATUS
01
SITE_LOCATION
4344 E Waterloo Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by A Manufacturer lLI Industry Standard LJ Professional Engineer <br /> Test Type Ll Pressure 0 Vacuum Ll Hydrostatic <br /> Tank ID T2:reg. T1:sup. <br /> Spill Container Manufacturer. FRANKLIN FRANKLIN <br /> Method of Cathodic Protection 0 Nonmetallic Z Nonmetallic Ll Nonmetallic J Nonmetallic <br /> E] Other L) Other 0 Other 11 Other <br /> Is the spill container minimum R1 Yes R1 Yes L) Yes E) Yes <br /> capacity five gallons excluding L1 No* Ll No* Ll No* Ll No* <br /> riser volume? <br /> Z Drain Z Drain Ll Drain J Drain <br /> Method to keep spill container Ll pump Ll Pump Ll Pump ll Purnp <br /> empty El Other Ll Other E) Other 11 Other <br /> Spill Container Test Results ® Pass ® Pass LJ Pass El Pass <br /> I Ll Fail j Ll Fail Ll Fail A Fail <br /> Tank 10 <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection E] Nonmetallic L) Nonmetallic L1 Nonmetallic D Nonmetallic <br /> L1 Other L1 Other L Other El Other <br /> Is the spill container minimum L1 Yes L1 Yes Ll Yes ll Yes <br /> capacity five gallons excluding Ll No* El No* Ll No* ll No* <br /> riser volume? <br /> Ll Drain El Drain Ll Drain ll Drain <br /> Method to keep spill container E) pump E) Pump E) Pump El Pump <br /> empty ❑ Other L-3 Other LJ Other J Other <br /> El Pass El L) Pass J Pass <br /> Spill Container Test Results ❑ Fail ❑ Fail L Fail ll Fail <br /> B. COMMENTS <br /> Describe all answers marked "Other," "No,"or"Fail"and each proposed remedy. <br /> * Mark here if: <br /> 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 2of2 <br />
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