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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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3250
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2300 - Underground Storage Tank Program
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PR0518288
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
12/3/2024 1:31:09 PM
Creation date
1/2/2024 1:32:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0518288
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
Site Address
3250 W GRANT LINE RD TRACY 95377
Tags
EHD - Public
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Page 2 of 2 <br /> SUMP & UDC ANNULAR TESTING <br /> Test Method Developed By: I Sump Manufacturer Industry Standard J Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: X Pressure X Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Vacuum &Pressure gauges/Vacuum pump/Nitrogen Equipment Resolution: +/-0.25 <br /> Sump#UDC 23/24 Sump# UDC 23/24 Sump# Sump# <br /> Is Sump Liquid Filled? X Yes No X Yes No X Yes ❑No X Yes No <br /> Type of Liquid Used: Bravo Propylene Glycol Bravo Propylene Glycol <br /> Sump Material: Fiberglass Fiberglass <br /> Sump Manufacturer: Bravo Bravo <br /> Penetration Type: Bavo Bravo <br /> Wait time between applying <br /> pressure/vacuum and 15 Minutes 15 Minutes <br /> starting test: <br /> Test Start Time: 10:10am 1:OOpm <br /> Initial Reading(RI): 3 Psi -25 Hg <br /> Test End Time: 11:10am 2:OOpm <br /> Final Reading(RF): 3 Psi -25 Hg <br /> Test Duration: 1 hour 1 hour <br /> Change in Reading(RF-R1): 0 Psi -0 Hg <br /> Pass/Fail Threshold or Criteria: 0.00psi -0.0 Hg <br /> Test Result: X Pass ❑Fail ® Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? X.Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA <br /> Was sensor properly replaced and X yes ❑No ❑NA X Yes ❑No ❑NA X Yes -[]No ❑NA X Yes ❑No ❑NA <br /> verified functional after testi!! ? <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Dispenser 23/24 UDC Sump repairs made. Performed Final Testing/Inspection today 01/04/24 with Kristina from San Joaquin <br /> County Environmental Health on site to witness.Verified sump integrity by conducting vacuum and pressure testing.All <br /> 1 Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containment,such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment <br /> testing. {California Code of Regulations,Title 23, Section 2637(a)(6)1 <br />
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