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COMPLIANCE INFO_2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231487
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COMPLIANCE INFO_2018
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Entry Properties
Last modified
12/17/2020 3:45:43 PM
Creation date
11/4/2018 5:09:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231487
PE
2351
FACILITY_ID
FA0000293
FACILITY_NAME
Pershing Holdings, Inc. DBA Esclon Arco
STREET_NUMBER
1329
STREET_NAME
ESCALON
STREET_TYPE
Ave
City
Escalon
Zip
95320
APN
22510003
CURRENT_STATUS
01
SITE_LOCATION
1329 Escalon Ave
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ESCALON\1329\PR0231487\COMPLIANCE INFO 2018 - PRESENT .PDF
QuestysFileName
COMPLIANCE INFO 2018 - PRESENT
QuestysRecordDate
2/23/2018 11:34:59 PM
QuestysRecordID
3806209
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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R" 416 2 Street Phones (209) 744- 0112 LINE & LEAK DETECTOR <br /> Galt, Ca 95632 Fax : (209) 744-0116 TEST REPORT <br /> afforda@softcom . net <br /> CONTRACTORIENGINEER EMPE CONSTRUCTION TEST DATE 2/ 15 /2018 <br /> SITE : PERSHING HOLDINGS AM / PM <br /> 1305 ESCALON BELLOTA RD ESCALON , CA 95320 <br /> ® Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ® Owners Request <br /> Insurance ❑ Escrow SHOW STREETS , BLDGS , TANKS, ISLANDS , PIPING (IF KNOWN) , PUMPS OR DISPENSERS <br /> ® Other POST REPAIR <br /> Make & Type of Pump or Dispenser <br /> F . E . PETRO / WAYNE ' <br /> Cover Over Lines <br /> CONCRETE ' 2018 <br /> Approx Burial Depth <br /> 3 - 7 FEET ENVIRONMEJAL H -ALTH <br /> Weather F)i � ','�, r i flAFaN <br /> COLD WINDY , SUNNY <br /> Pressure ® Suction <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min . PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD - D <br /> G STPMLD - E <br /> H STPMLD— D/E Notes : <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician * Tests were made on the line systems as noted in accordance with test procedures <br /> Zane A .Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> OTTL License # : 044676 <br /> PETROTITE CERT. ❑ PASS ❑ FAIL ❑ INCONCLUSIVE <br /> # : CCA0202112304R 87 OCTANE - . 0000 <br /> ICC# 5263322 UT ® PASS ❑ FAIL El INCONCLUSIVE <br /> Trainee : JOSH POWELL [] PASS ❑ FAIL ❑ INCONCLUSIVE <br /> 91 OCTANE ® PASS ❑ FAIL ❑ INCONCLUSIVE - , 0040 <br /> EQUIPMENT: PETRO TITE LINE ❑ PASS ❑ FAIL ❑ INCONCLUSIVE <br /> TESTER <br /> Notes : <br />
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