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INSTALL_2022
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0547762
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INSTALL_2022
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Last modified
1/23/2023 11:24:15 AM
Creation date
7/6/2022 9:54:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2022
RECORD_ID
PR0547762
PE
2351
FACILITY_ID
FA0027204
FACILITY_NAME
SAFEWAY FUEL CENTER #0055
STREET_NUMBER
19533
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
19533 S MOUNTAIN HOUSE PKWY
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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iota CGRS <br /> ENHANCED LEAK DETEC71DN V <br /> Final ELD Test Project Worksheet <br /> Final Test Date: 6/7/2022 IOTA Technicians: Sergio L.Nunez <br /> Site IMormation CGRS Project No: 61-24529 Installation Contractor Information <br /> Facility: Safeway#55 Customer Name: B&T Service Station Contractors <br /> Address: 19533 S.Mountain House Pkwy Address: 630 S.Frontage Rd. <br /> City,State,Zip: Mountain House,CA 95381 City,State,Zip: Nipomo,CA 93444 <br /> County: San Joaquin Contact: Les Henderson <br /> CUPA Contact: San Joaquin County Environmental Health Phone/Email: 805431-8839/les@btssc.com <br /> CUPA Email: ust s'ov.or <br /> TANKS <br /> Tank No. Ca aci al. Product T Manufacturer Brine Test Result <br /> Tank 1 30,000 87 Octane DW Fiberglass Xerxes Yes PASS <br /> Ink 15,000 91 Octane DW Fiberglass Xerxes Yes PASS <br /> Tank 15,000 Diesel DW Fiberglass Xerxes Yes PASS <br /> COMPONENTS IN CONTAINMENT <br /> Tank Top Sums Diameter in. 2pth in. Volume al. Description Test Result <br /> S1 42 72 431.83 87 TS PASS <br /> S2 42 72 431.83 87 FS PASS <br /> S3 42 72 431.83 91 TS PASS <br /> S4 42 72 431.83 91 FS PASS <br /> S5 42 72 431.83 DSL TS PASS <br /> S6 42 72 431.83 DSL FS PASS <br /> Junction Boxes with Tank Connection Description Test Result <br /> $1 Tank Probe and Turbine J-Boz Open During Test PASS <br /> S3 Tank Probe and Turbine J-Boz Open During Test PASS <br /> S5 Tank Probe and Turbine J-Boz Open During Test PASS <br /> UDCs Length In. Width In. Depth in. Volume al. Description Test Result <br /> UDC1 42 24 32 139.64 Bravo PASS <br /> UDC2 42 24 32 139.64 Bravo PASS <br /> UDC3 42 24 32 139.64 Bravo PASS <br /> UDC4 42 24 32 139.64 Bravo PASS <br /> UDC5 42 24 32 139.64 Bravo PASS <br /> UDC6 42 24 32 139.64 Bravo PASS <br /> UDC7 42 24 32 139.64 Bravo PASS <br /> UDC8 42 24 32 139.64 Bravo PASS <br /> Transition Sum Length In. Width In. Depth In. Volume al. Description Test Result <br /> TS1 24 22 36 82.29 Bravo PASS <br /> PIPING <br /> Product Piping Manufacturer Type 1-(in.) Len th ft. Test Result <br /> 87 PL1 NOV DW Fiberglass 2 200 PASS <br /> 87 PI-2 NOV DW Fiberglass 2 120 PASS <br /> 91 PL1 NOV DW Fiberglass 2 215 PASS <br /> 91 PI-2 NOV DW Fiberglass 2 135 PASS <br /> DSL PL NOV DW Fiberglass 2 165 PASS <br /> DSL PI-2 NOV DW Fiberglass 2 105 PASS <br /> Vent Piping Manufacturer Type Size in. Length ft. Test Result <br /> 87 Vent NOV DW Fiberglass 2 150 PASS <br /> 91 Vent NOV DW Fiberglass 2 105 PASS <br /> DSL Vent NOV OW Fiberglass 2 75 PASS <br /> Vapor Piping Manufacturer Type Size in. Len th H. Test Result <br /> VR NOV DW Fiberglass 3 325 PASS <br /> Leak Lo s/Repair EL <br /> 6/23/2022 -4��� 06-1727 6/7/2022 <br /> Reviewed By Date IOTA Tec[�Signature CA License No. Data <br />
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