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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EL DORADO
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3500 - Local Oversight Program
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PR0544688
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/24/2019 9:39:44 AM
Creation date
7/24/2019 9:31:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544688
PE
3526
FACILITY_ID
FA0001946
FACILITY_NAME
El Dorado Food Mart
STREET_NUMBER
1901
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16508019
CURRENT_STATUS
02
SITE_LOCATION
1901 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SWRCB. January 2002 Page 6 of 7 <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps <br /> Fill Riser Containment Sumps are Present, but were Not Tested <br /> Test Method Developed By: [ ] Sump Manufacturer [ ] Industry Standard [ j Professional Engineer <br /> [ I Other (Spec) <br /> Test Method Used: [ ] Pressure [ ] Vacuum [ ] Hydrostatic <br /> Other (Specify) <br /> Test Equipment Used: Equipment Resolution : <br /> Fill Sump # Fill Sump # I Fill Sump # <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to <br /> Top of Highest Piping <br /> Penetration: <br /> Height from Tank Top to <br /> Lowest Electrical <br /> Penetration: <br /> Condition of Sump prior to <br /> testing: <br /> Portion of Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacumn/water & <br /> starting test <br /> Test Start Time: <br /> Initial Reading RI : <br /> Test End Time: <br /> Final Reading Rf): <br /> Test Duration- <br /> Chan a in Reading Rf-RI <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: ] $ FATL FAI1 PASS , J: FAIL <br /> Is there a sensor in the sump? Yes No NA Yes , No NA Yes No NA <br /> Does the sensor alarm when <br /> either product or water is [ ]Yes [ ] No [ INA [ ] Yes [ ] No [ INA [ ] Yes [ ]No [ ] NA <br /> detected? <br /> Was sensor removed for [ ] Yes [ ] No [ ] [ ] Yes [ ] No [ ] N/A [ ] Yes [ ]No [ ]N/A <br /> testing? N/A <br /> Was sensor properly replaced <br /> and verified functional after [ ] Yes [ ] No [ ] [ ] Yes [ ] No [ ] N/A [ ] Yes [ ]No [ ]N/A <br /> testing? N/A <br /> Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> N/A <br />
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