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COMPLIANCE INFO 2002 - 2006
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MANTHEY
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3408
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2300 - Underground Storage Tank Program
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PR0517521
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COMPLIANCE INFO 2002 - 2006
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Last modified
5/14/2019 3:00:07 PM
Creation date
5/8/2019 1:59:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2006
RECORD_ID
PR0517521
PE
2361
FACILITY_ID
FA0013484
FACILITY_NAME
FOOD 4 LESS FUEL CENTER*
STREET_NUMBER
3408
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
16422011
CURRENT_STATUS
01
SITE_LOCATION
3408 MANTHEY RD
P_LOCATION
01
QC Status
Approved
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KBlackwell
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EHD - Public
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JAN -21 -2003 -TUE 01;21 PM <br />Dec 31 02 11:03a Franzen Hill <br />007 <br />555..e91467 <br />P-11 <br />S.'WRCB, January 2002 <br />8. FILL RISER CONTAINMENT SUMP TESTING <br />Page -L of -1- <br />Facility is Not Equipped With Fill Riser Containment Sums 0 <br />Fill Riser Containment Sumps are Present, but were Not Tested 0 <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br />0 Other (Spec) <br />Test Squipment Used: Equipment Re301UUDn: <br />Fill Sump # Fill SUMP # Fill Sump # Fill Sum f# <br />Sump Diameter: <br />Sump Depth- <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testing: <br />Portion of Sum Tested <br />Sump Material: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading(R,): <br />Test End Time: <br />Final Reading (Rr): <br />Test Duration: <br />Change in Reading (RF-Rj): <br />Pass/Fail Threshold or Criteria.- <br />riteria:Test <br />TestResult: <br />❑ Pass Q Fail <br />❑ Pass 0 Fail <br />0 Pass ❑ Fail ❑ Pass 0 Fail <br />Is there a sensor in the sump? <br />❑ Yes 0 No <br />D Yes ❑ No <br />❑ Yes ❑ No ❑ Yes ONO <br />Does the sensor alarm when <br />either product or water is <br />I 0 Yes ❑ No ❑ NA <br />C Yes C No CNA <br />0 Yes ' ❑ No C NA ❑ Yes ❑ No Cl NA <br />detected? <br />Was sensor removed for testing? <br />❑ Yes 0 No ❑ NA <br />❑ Yes 0 No ❑ NA <br />Yes 0 No _QNA 0 Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />d yes G No ❑ NA <br />0 Yes ❑ No 0 NA <br />❑ Yes D No 0 NA ❑ Yes 0 No ❑ NA <br />Cptt Ments — (include informaliola on repairs made prior to resting, and recommended ollow-u fpr fcrlled Tests) <br />
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