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COMPLIANCE INFO_2002 - 2010
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231223
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COMPLIANCE INFO_2002 - 2010
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Last modified
12/16/2019 3:26:44 PM
Creation date
12/16/2019 1:48:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2010
RECORD_ID
PR0231223
PE
2361
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
01
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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SWRCB,January 2002 Page 6 of <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sum s <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ B <br /> st Method Developed By: ❑Sump Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Met ho Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Use . Equipment Resolution: <br /> n. <br /> Fill Sump# Fill Sump# Fill Sump# Fill sume# <br /> Sump Diameter: IN, ,a <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 Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading : <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> -Change in Reading (RF—R,): <br /> Pass/Fail Threshold or Criteria <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑FaI ❑ Pass ❑Fail <br /> Is there a sensor in the p? ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Does the sensor ala when ❑yes ❑No ❑NA <br /> either product or ater is ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Y ❑No ❑NA <br /> detected? <br /> Was sens removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑ ❑NA <br /> W sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA 1 ❑Yes ❑No ❑NA <br /> erified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for jailed tests) <br />
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