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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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PR0231435
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COMPLIANCE INFO_2023
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Last modified
1/17/2024 11:23:47 AM
Creation date
6/20/2023 9:28:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
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 /> Secondary Containment Testing Report Form <br /> 8. SUMPIUDC TEST <br /> Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br /> Test Equipment Used: lake test <br /> SumplUDC ID 1/2 3/4 <br /> Sump Manufacturer unknown unknown <br /> Sump Depth (inches) 32 32 <br /> Sump Bottom to Top of 12 12 <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 8:56 8:56 <br /> Initial Reading 16in 16in <br /> Test End Time 9:56 9:56 <br /> Final Reading 16in 16in <br /> Change in Reading 0 0 <br /> PassJFail Criteria .125in .125in <br /> Tightness Test Results 0 Pass D Fail 0 Pass D Fail ❑ Pass D Fail a Pass D Fail <br /> Sump/LIDC ID <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <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 ❑ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> A 1 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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