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COMPLIANCE INFO_2023
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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PR0231356
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COMPLIANCE INFO_2023
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Last modified
3/25/2024 9:53:18 AM
Creation date
3/15/2023 8:33:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231356
PE
2361
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
02740006
CURRENT_STATUS
01
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
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 />Additional copies of this page may be attached. <br />Page 2 of 2 <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by Manufacturer Industry Standard Professional Engineer <br />Test Type Pressure Vacuum Hydrostatic <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Method to keep spill container <br />empty <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Method to keep spill container <br />empty <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />1 <br />8. COMMENTS <br />Describe all answers marked Other, No, or Fail and each proposed remedy. <br />* Mark here if: <br />Spill containers do not have a minimum capacity of five gallons and require replacement. <br />1 REGULAR <br />CNI <br />2 PLUS <br />CNI <br />3 PREMIUM <br />CNI <br />4 DIESEL <br />CNI
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