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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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SWRC$,January 2002 Page C= of <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With FilI Riser Containment Sumps X _ <br /> Fill Riser Containment Sumps are Present, but were Not Tested <br /> 'rest Method Developed By: ❑Sump Manufacturer ❑ Industry Standard Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> Sum Diameter: �— <br /> Sump De the <br /> Height from Tank Top to To of <br /> Hi hest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to — -- -- <br /> testin : <br /> Portion of Sump Tested _ -- <br /> Sump Material: <br /> Wait time between applying <br /> water and startincy test: <br /> Test Start Time: —v -- <br /> Initial Reading(Rj): --- — <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 ❑ Fail ❑ Pass ❑Fail <br /> Is there a sensor in the sump? Yes ❑No Yes ❑No Yes ❑No ❑Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is Yes ❑No ❑NA Yes ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> detected? <br /> W as sensor removed for testing? Yes ❑No ❑NA Yes ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and Yes 0 No ❑NA Yes ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testin ? <br /> _Comments— (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />
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