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COMPLIANCE INFO 2013-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0518624
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COMPLIANCE INFO 2013-2015
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Last modified
3/11/2021 9:30:46 AM
Creation date
11/5/2018 11:18:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0518624
PE
2371
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
01
SITE_LOCATION
1630 E Hammer Ln
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1630\PR0518624\COMPLIANCE INFO 2013-2015.PDF
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EHD - Public
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• • Page 2 of 11 <br /> 1. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ®Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: [-]Pressure ®Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: See attached testing procedures Equipment Resolution: <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and 30 minutes 30 minutes 30 minutes 30 minutes <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Rj): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Ri): <br /> Pass/Fail Threshold or Criteria: 0.00 0.00 0.00 0.00 <br /> Test Result: ❑ Pass ❑ Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? [-]Yes❑No [INA [-]Yes ❑No❑NA ❑Yes[]No❑NA ❑Yes[--]No[-INA <br /> Was sensor properly replaced and [-]Yes❑No[-]NA ❑Yes❑No❑NA ❑Yes[-]No[-INA ❑Yes❑No❑NA <br /> verified functional after testing? <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for jailed tests) <br /> WET ANNULARS NOT TESTED <br /> 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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