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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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PR0516736
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COMPLIANCE INFO_2022
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Last modified
12/22/2022 2:44:45 PM
Creation date
6/30/2022 11:26:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0516736
PE
2361
FACILITY_ID
FA0012764
FACILITY_NAME
SAFEWAY FUEL CENTER #1769
STREET_NUMBER
2802
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2802 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br />Spill Container Testing Report Form <br />Additional copies of this page may be attached. <br />Page 2 of 2 <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by Manufacturer Industry Standard Professional Engineer <br />Test Type Pressure Vacuum Hydrostatic <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Method to keep spill container <br />empty <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Method to keep spill container <br />empty <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />1 <br />8. 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 />1-87 <br />OPW <br />2-91 <br />OPW <br />3-diesel <br />OPW
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