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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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1960
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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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Received by EHD: <br /> 1/9/2023 <br /> via e-mail Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST , <br /> Test Method Developed by ❑ Manufacturer N Industry Standard ❑ Professlonal Engineer <br /> Test Type ❑ Pressure N Vacuum ❑ Hydrostatic <br /> Test Equipment Used: 4" Oil Filled Gauge <br /> Tank ID 87 91 Diesel <br /> Tank Manufacturer Xerxes Xerxes Xerxes <br /> Tank Capacity 11682 11682 11682 <br /> Test Start Time 9:16 9:16 9:32 <br /> Initial Reading 10" hg 10" hg 10" hg <br /> Test End Time 10:16 10:16 10:32 <br /> Final Reading 10" hg 10" hg 10" hg <br /> Change in Reading 0 0 0 <br /> Pass/Fall Criteria 0 0 0 <br /> Tightness Test Results ® Pass ❑ Fail N Pass ❑ Fail N Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7 PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type N Pressure ❑ Vacuum EI Hydrostatic <br /> Test Equipment Used: 4" Oil Filled Gauge <br /> Pipe Run ID 87 91 Diesel <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 9:20 9:20 9:20 <br /> Initial Reading 5 psi 5 psi 5 psi <br /> Test End Time 10:20 10:20 10:20 <br /> Final Reading 5 psi 5 psi 5 psi <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results N Pass ❑ Fail N Pass ❑ Fail N Pass ❑ Fail ❑ Pass ❑ Fail <br /> Pipe Run ID <br /> Pipe Manufacturer <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass EJ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> All tests marked "Fail"and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section_ <br /> Page 2 of 5 <br />
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