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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2022
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Last modified
11/2/2022 11:51:23 AM
Creation date
3/23/2022 2:57:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />Additional copies of this page may be attached. <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: F.F.S. Incon TS -STS Sump Tester w/ + or — 0.002" graduations <br />Sump/UDC ID <br />UDC 5-6 <br />Diesel STP <br />91 STP <br />UDC 7-8 <br />Sump Manufacturer <br />Bravo <br />Total Containment <br />Total Containment <br />Bravo <br />Sump Depth (inches) <br />12" <br />72" <br />72" <br />12" <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />inches <br />Piping comes <br />from bottom of <br />UDC <br />28" <br />28" <br />Piping comes <br />from bottom of <br />UDC <br />Test Start Time <br />9:45am <br />9:45am <br />9:45am <br />Initial Reading <br />1.7276" <br />3.8459" <br />5.0850" <br />Test End Time <br />10:00am <br />10:00am <br />10:00am <br />Final Reading <br />1.7274" <br />3.8459" <br />5.0843" <br />Change in Reading <br />-0.0002" <br />0.00" <br />-0.0007" <br />Visual Fail <br />Pass/Fail Criteria <br />+ or — 0.002" <br />+ or — 0.002" <br />+ or — 0.002" <br />+ or — 0.002" <br />Tightness Test Results <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />❑ Pass ® Fail <br />Sump/UDC ID <br />UDC 1-2 <br />UDC 3-4 <br />87 STP <br />W.O. <br />Sump Manufacturer <br />Bravo <br />Bravo <br />Total Containment <br />Total Containment <br />Sump Depth (inches) <br />1211 <br />1211 <br />7211 <br />7411 <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />inches <br />Piping comes <br />from bottom of <br />UDC <br />Piping comes <br />from bottom of <br />UDC <br />28" <br />22" <br />Test Start Time <br />10:18am <br />10:18am <br />12:45pm <br />Initial Reading <br />2.1747" <br />4.0490" <br />4.0792" <br />Test End Time <br />10:33am <br />10:33am <br />1:00pm <br />Final Reading <br />2.1749" <br />4.0479" <br />4.0795" <br />Change in Reading <br />+0.0002" <br />-0.0011" <br />Not tested <br />+0.0003" <br />Pass/Fail Criteria <br />+ or — 0.002" <br />+ or — 0.002" <br />+ or — 0.002" <br />+ or — 0.002" <br />Tightness Test Results <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />❑ Pass ® Fail <br />M 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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