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COMPLIANCE INFO_2022
EnvironmentalHealth
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0506497
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COMPLIANCE INFO_2022
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Last modified
10/10/2022 9:32:56 AM
Creation date
7/28/2022 2:20:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0506497
PE
2351
FACILITY_ID
FA0007461
FACILITY_NAME
7-ELEVEN INC #14113
STREET_NUMBER
3040
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10027018
CURRENT_STATUS
01
SITE_LOCATION
3040 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
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 El Manufacturer U Industry Standard U Professional Engineer <br /> Test Type ZI Pressure U Vacuum U Hydrostatic <br /> Tank ID T1 REG. T2 PREM. <br /> Spill Container Manufacturer: oPw oPw <br /> Method of Cathodic Protection U Nonmetallic U Nonmetallic D Nonmetallic i U Nonmetallic <br /> U Other U Other El Other U Other <br /> Is the spill container minimum U Yes U Yes LJ Yes U Yes <br /> capacity five gallons excluding U No* U No* L1 No* U No* <br /> riser volume? <br /> U Drain U Drain El Drain U Drain <br /> Method to keep spill container U Pump U Pump L Pump U Purnp <br /> empty U Other U Other LJ Other U Other <br /> ® Pass ® Pass L1 Pass U Pass <br /> Spill Container Test Results U Fail U Fail 11 Fail U Fail <br /> Tank la <br /> Spill Container Manufacturer: <br /> U Nonmetallic U Nonmetallic U Nonmetallic U Nonmetallic <br /> Method of Cathodic Protection U Other U Other U Other U Other <br /> Is the spill container minimum Ll yes Ll Yes ILI Yes Ll Yes <br /> capacity five gallons excluding ❑ No* ❑ No* Q No* U No* <br /> riser volume? <br /> U Drain U Drain L Drain Ll Drain <br /> Method to keep spill container U pump U Pump LJ Pump U Pump <br /> empty U Other U Other LJ Other U Other <br /> Spill Container Test Results U Pass U Pass 11 Pass U Pass <br /> El Fail El Fail D Fail El Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other,'"No,"or"Fail'and each proposed remedy. <br /> * Mark here if: <br /> U 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 2 of 2 <br />
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