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INSTALL_2023
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0548699
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INSTALL_2023
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Entry Properties
Last modified
2/3/2026 9:08:02 AM
Creation date
10/3/2023 5:01:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2023
RECORD_ID
PR0548699
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0027873
FACILITY_NAME
ARCO AMPM-MOUNTAIN HOUSE
STREET_NUMBER
18095
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
18095 W GRANT LINE RD MOUNTAIN HOUSE 95391
Tags
EHD - Public
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Page 2 of 2 <br /> no% LEAK DETECTION <br /> T E C H N O L O G I E S INC: <br /> Providers for MDleak° MSleak° DPleak°, MCleak°and <br /> PHDleak° Testing Technologies <br /> 2765 East Wieding Road ❑ Tucson, AZ 85706 ❑ Phone 855-255-5325 ❑ FAX: 1-520-509-3720 <br /> Facility Certification CONFIDENTIAL <br /> Test Type: California ELD New Construction Test <br /> Facility Name: Mountain House AMPM Job#: 5344 <br /> Prepared For: Petroleum Builders PO#: <br /> Site Address: 18095 W Grant Line Road <br /> City: Mountain House <br /> State and Zip: CA 95391 <br /> Start Date: 7/25/2025 End Date: 7/26/2025 <br /> SYSTEM TK-1 87 TK-2 91 TK-3 DSL VR <br /> Tank Volume in Gallons: 25000 12000 8000 <br /> UST Manufacture: Modern Modem Modern <br /> Type of Interstice: Dry Dry Dry <br /> Depth To Top Tank: <br /> Tank Diameter: <br /> Depth of Liquid Within Tank: <br /> Depth to Ground Water: <br /> Tank Sump Boots Turbine <br /> Component Manufacture: Bravo Smith <br /> UDC/Dispensers Information <br /> Number of Dispensers: i 0.00 0 0 0 <br /> Manufacture: <br /> Shear Valve Manufacture: oPw <br /> Containment Boots: Smith <br /> Piping Information Manufacture <br /> Product Lines: Smith <br /> Vapor Return/Vent: Smith <br /> Flex: Unisource <br /> Spill Buckets: <br /> EVR: <br /> Certifying Field Technician: Ben Getz State Lie.# : 21-1772 <br /> Certification Leak Rate: 0.005GPH / <br /> Certifying Technician Signature: Date: 7/26/2025 <br /> This is a statement to confirm that the components listed above, at the time of testing, have been tested to a leak <br /> sensitivity listed above by using one or more of the following DPleak®, MDleak®, MCleak and PHDleak° EPA aproved <br /> Methods. These Methods are the most versatile and comprehensive testing procedures offered to the petroleum <br /> industry. All petroleum owners and contractors which utilize the DPleak°, MDleak°, MCleak, and PHDleak° Method can <br /> be assured that their facility has passed the Nation's highest standard in preventative leak detection. <br /> I declare under penalty of perjury that I am a licensed tester in one of the above methods listed by the National <br /> Workgroup on Leak Detection Evaluations (NWGLDE) organization and that the information contained in this report is <br /> true and correct to the best of my knowledge. <br /> If you have any questions on the testing please do not hesitate to call.@ 855-255-5325. <br /> Office use only <br /> Statement Confirmed by: Date: 8/4/2025 <br />
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