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COMPLIANCE INFO_2020
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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PR0231761
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COMPLIANCE INFO_2020
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Last modified
11/4/2020 6:35:30 PM
Creation date
1/17/2020 11:54:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231761
PE
2361
FACILITY_ID
FA0002347
FACILITY_NAME
ERNIES GENERAL STORE
STREET_NUMBER
4407
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710059
CURRENT_STATUS
01
SITE_LOCATION
4407 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of 6) <br /> XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer I Identify Tank ID from Section III for each Manufacturer <br /> A ❑ B ❑ C ❑ D ❑ <br /> A ❑ I B ❑ I C ❑ I D <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ❑ Industry Code or Engineering Standard (Specify) : <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Interstitial Communication Verification Method Used : <br /> NA-Section III -No Vapor Recovery Piping Containment at this UST Facility . <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> NA-Section III -No Vapor Recovery Piping Containment at this UST Facility . <br /> XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Containment Solutions A ❑x I B ❑X I C 0 D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ❑ Industry Code or Engineering Standard (Specify) : <br /> Engineered Method (Specify): Caldwell Systems/ Hydrostatic 30 Minutes <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Turbine I Product Piping Sump Testing Training and Certifications (List applicable certifications) Expiration Date <br /> Caldwell Level Change Indicator 6/ 10/2023 <br /> ICC Service Technician #5246802- UT 3/21 /2021 <br /> Underground Storage Tank Tester License #90- 1120 12/31 /2022 <br /> XVI . COMMENTS <br /> Provide any additional comments here. <br /> ID = Identfication <br />
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