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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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PR0231300
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
7/27/2023 9:04:09 AM
Creation date
6/20/2023 8:47:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231300
PE
2361
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
01
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
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.
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