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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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PR0530093
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/17/2022 12:46:45 PM
Creation date
9/12/2022 1:13:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0530093
PE
2351
FACILITY_ID
FA0019793
FACILITY_NAME
CRUISERS MANTECA #29
STREET_NUMBER
1137
Direction
W
STREET_NAME
LATHROP
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19724002
CURRENT_STATUS
01
SITE_LOCATION
1137 W LATHROP RD
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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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 ❑ Manufacturer E Industry Standard ❑ Professional E=ngineer <br /> Test Type ❑ Pressure ❑ Vacuum E Hydrostatic <br /> F <br /> nkID 87 91 DSL <br /> ill Container Manufacturer; Phil-Tite Phi!-Tice Phil-Tite <br /> Method of Cathodic Protection E Nonmetallic E Nonmetallic E Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ® Yes E Yes E Yes ❑ Yes <br /> capacity five gallons excluding <br /> riser volume? ElNo* ❑ No* ❑ No* ElNo* <br /> Method to keep spill container ® Drain E Drain ® Drain ❑ Drain <br /> empty ❑ pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass E Pass E Pass ❑ Pass <br /> E Fail ❑ Fail ❑ Fail ❑ Fail <br /> TanklD <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> El Drain El Drain 11 Drain El Drain <br /> Method to keep spiii container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty El <br /> Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No," or`'Fail"and each proposed remedy. <br /> Need to return and replace outer bucket o-ring on 87 Fill. Replaced <br /> 91 drain valve. <br /> * Mark here if: <br /> ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br />
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