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COMPLIANCE INFO_2023
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0523684
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COMPLIANCE INFO_2023
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Last modified
1/30/2024 9:31:57 AM
Creation date
2/3/2023 10:28:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0523684
PE
2351
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\lsauers1
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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 D Manufacturer H Industry Standard D Professional Engineer <br /> Test Type 0 Pressure D Vacuum Hydrostatic <br /> Tank ID 87 91 DSL <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection K Nonmetallic K Nonmetallic R Nonmetallic ® Nonmetallic <br /> D Other D Other D Other D Other <br /> Is the spill container minimum H Yes X Yes H Yes D Yes <br /> capacity five gallons excluding D No* ® No* D No* ❑ No* <br /> riser volume? <br /> Method to keep spill container Drain Drain Drain D Drain <br /> empty ❑ Pump D Pump © Pump D Pump <br /> © Other 0 Other D Other 0 Other <br /> Spill Container Test Results X Pass X Pass lK Pass D Pass <br /> Fail I 0 Fail D Fail 0 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection 0 Nonmetallic D Nonmetallic ® Nonmetallic D Nonmetallic <br /> 0 Other D Other © Other 0 Other <br /> Is the spill container minimum 0 Yes ❑ Yes D Yes 0 Yes <br /> capacity five gallons excluding © No* ® No* 0 No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain D Drain ® Drain ® Drain <br /> empty D Pump ® Pump ® Pump ® Pump <br /> ® Other © Other ® Other © Other <br /> Spill Container Test Results ❑ Pass ® Pass D Pass ® Pass <br /> ❑ Fail D Fail © Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> * Mark here if: <br /> D 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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