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COMPLIANCE INFO 2002-2006
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0518288
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COMPLIANCE INFO 2002-2006
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Last modified
2/25/2021 3:50:10 PM
Creation date
11/5/2018 9:14:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2006
RECORD_ID
PR0518288
PE
2361
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
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\3250\PR0518288\COMPLIANCE INFO 2002-2006.PDF
QuestysFileName
COMPLIANCE INFO 2002-2006
QuestysRecordDate
7/5/2017 7:22:22 PM
QuestysRecordID
3481896
QuestysRecordType
12
QuestysStateID
1
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EHD - Public
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SWRCB,January 2002 Page ,of i <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer [Industry Standard C Professional Engineer <br /> ❑Other(Specify) / <br /> Test Method Used ❑Pressure Vacuum ❑Hydrostatic <br /> ❑Other.(Spec) <br /> Test Equipment Used:r ' (., (L & (jCj Equipment Resolution: <br /> Tank# 87MA:i,eTank# 3 7.SSLA v F Tank# Tana# <br /> Is Tank Exempt From Testing?' Yes ❑No Nryes :1 No Yes ❑No ❑Yes ❑No <br /> Tank Capacity- W.000 Ca t_i.S- I ( % I ( <br /> Tank Material: F+5 it It <br /> Tank Manufacturer: OLJjEws tX <br /> 1 <br /> Product Stored: A Sot ,rj r [ <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: l <br /> Initial Reading(RI): Vjf C ri <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rt): <br /> Pass/Fail Threshold or Criteria: ' <br /> Test Result: C] Pass ❑Fail ❑ Pass `- ❑Fail C1 Psss: C�Fail _-.❑.Pass ❑Fail <br /> Was sensor removed for testing? El Yes ❑No ❑NA <br /> g• 13 Yes ❑No ❑NA C]Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No El NA 11 Yes El No C7 NA 11 Yes ❑No 11 NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> COMMentS—(include information on repairs made erior to testing and recommended follow-up forfailed tests) <br /> Costco #658 <br /> 3250 Grantline & Hwy 205 <br /> Tracy, CA 95377 <br /> I 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)) <br />
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