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COMPLIANCE INFO_2022
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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PR0508090
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COMPLIANCE INFO_2022
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Last modified
3/30/2022 8:32:41 AM
Creation date
1/13/2022 8:33:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0508090
PE
2361
FACILITY_ID
FA0007938
FACILITY_NAME
CHEVRON #208117**
STREET_NUMBER
755
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
24202029
CURRENT_STATUS
01
SITE_LOCATION
755 S TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMPIUDC TEST (continued) <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Test Equipment Used: <br /> Sump/UDC ID UDC 9110 UDC 11112 <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 11:50 11:50 <br /> Initial Reading 3.7098 6.5254 <br /> Test End Time 12:05 12:05 <br /> Final Reading 3.7102 6.5260 <br /> Change in Reading 0.0004 0.0006 <br /> Pass/Fail Criteria 0.002 0.002 <br /> Tightness Test Results ® Pass ❑ Fail N Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <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"Fall"and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 4 of 5 <br />
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