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INSTALL_2013
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INSTALL_2013
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Last modified
3/11/2021 1:02:11 PM
Creation date
11/8/2018 10:22:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2013
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
Supplemental fields
FilePath
\MIGRATIONS3\H\HAMMER\1630\PR0518624\INSTALL PLAN 2013.PDF
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EHD - Public
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Page 1 of 2 <br /> LEAK DETECTION <br /> rEC' HN0L0G11: ,- <br /> Exclusive Providers for MDleak' and <br /> PHDleak`' Testing Technologies RECEIVE <br /> JUN 13 2D13 <br /> ENVIRONMENTAL <br /> Facility Certification CONFINA"AtTMENT <br /> Test Type: California ELD New Construction Test Final ELD Express Testing <br /> Facility Name: Costco 38 ELD Test Job#: 2890 <br /> Prepared For: WAYNE PERRY,INC <br /> Site Address: 1616 EAST HAMMER LANE <br /> City: Stockton Primary Test Leak Rate: .005 gph <br /> State and zip: CA 95210 Secondary Test Leak Rate: .1 gph <br /> Start Date: 6/11/2013 End Date: 6/12/2013 <br /> SYSTEM Tk-1 ADD <br /> Product Primary: PASS <br /> Product Secondary: PASS <br /> Vent Primary: PASS <br /> Vent Secondary: PASS <br /> VR Primary: NA <br /> VR Secondary: NA <br /> Tank: PASS <br /> Turbine Sump: PASS <br /> Turbine Sump Elect: PASS <br /> Turbine Head: PASS <br /> Fill/Vapor Sump: PASS <br /> Fill Sump Elect: PASS <br /> ill&Vapor Poppet: NA <br /> Vent Box: PASS <br /> Fin Spill Bucket: PASS <br /> Vapor Spill Bucket: PASS <br /> Certifying Field Technician: Ricardo Gonzalez State Lic.#: 04-1695 <br /> Certification Leak Rate: .005 gph <br /> Certifying Technician Signature: Date: 6/12/2013 <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 using the MDleak@ and PHDleak® Method. The MDleak® and PHDleak® Method is one o <br /> the most versatile and comprehensive testing procedure offered to the petroleum industry.All petroleum owners and <br /> contractors which utilize the MDleak® and PHDleak@ Method can be assured that their facility has passed the <br /> Nation's highest standard in preventative leak detection. <br /> I declare under penalty of perjury that I am a licensed tank tester in the MDleak@ and PHDleak@ method, a method <br /> listed by the NWGLDE organization and that the information contained in this report is true and correct to the best o <br /> my knowledge. <br /> If you have any questions on the testing please do not hesitate to call.(hi 520-207-4878. <br /> Office use only <br /> Statement Confirmed by: /� • Date: 6/12/2013 <br />
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