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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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2300 - Underground Storage Tank Program
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PR0232534
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
11/19/2024 10:19:39 AM
Creation date
1/13/2023 9:15:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0232534
PE
2361
FACILITY_ID
FA0004547
FACILITY_NAME
CHEVRON STATION #201383
STREET_NUMBER
1960
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23402001
CURRENT_STATUS
01
SITE_LOCATION
1960 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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EHD Received via CERS submittal: <br /> Underground Storage Tank 1/28/2023 <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type Ll Pressure 0 Vacuum L] Hydrostatic <br /> Tank ID 91 87 DSL <br /> Spill Container Manufacturer. °PW °PW °PW <br /> Method of Cathodic Protection 0 Nonmetallic 1 0 Nonmetallic ® nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other 11 Other El Other <br /> Is the spill container minimum 0 Yes 0 Yes ® Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> R1 Drain R1 Drain ® Drain D Drain <br /> Method to keep spill container ❑ Pump ❑ Pump LJPump Li Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> 11 Nonmetallic 13 Nonmetallic 11 Nonmetallic El Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other L Other Ll Other <br /> Is the spill container minimum ❑ yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain LJ Drain <br /> Method to keep spill container ❑ pump ❑ Pump ❑ Pump L] Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass L Pass ❑ Pass <br /> Q Fail ❑ Fail L1 Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other,""No,"or"Fait'and each proposed remedy. <br /> * Mark here if: <br /> ❑ Spill containers do not have a minimum capacity of five gaflons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />
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