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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231069
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
10/4/2023 11:02:48 AM
Creation date
1/17/2023 10:56:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Test Equipment Used: Caldwell Level Change Indicator <br /> Sump/UDC ID 1-87-PS 2-91-PS <br /> Sump Manufacturer XERXES XERXES <br /> Sump Depth (inches) 40 1/2" 35 1/2" <br /> Sump Bottom to Top of 14" 15" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 12:42 12:47 <br /> Initial Reading .001 .001 <br /> Test End Time 1:12 1:17 <br /> Final Reading .001 .001 <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria > .002 > .002 <br /> Tightness Test Results M Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID UDC 1&2 UDC 3&4 <br /> Sump Manufacturer Bravo Syscs Bravo Syscs <br /> Sump Depth (inches) 10" 10" <br /> Sump Bottom to Top of BP BP <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 1:27 1:32 <br /> Initial Reading .001 .001 <br /> Test End Time 1:57 2:02 <br /> Final Reading .001 .001 <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria > .002 > .002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ 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 3 of 5 <br />
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