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COMPLIANCE INFO_2002-2009
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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PR0231069
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COMPLIANCE INFO_2002-2009
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Last modified
2/27/2023 4:51:25 PM
Creation date
6/3/2020 9:44:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2009
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231069_1856 W COUNTRY CLUB_2002-2009.tif
Tags
EHD - Public
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I If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (*) is "NO" or `STA", the entire sump must be (See SWRCB LG -160) <br />SftCB, January 2002 <br />Page Lf of <br />r <br />6s ®ILPIN`SUMP iLSIG <br />Test Method Developed By: <br />U Sump Manufacturer U Industry Standard afessional Engineer <br />U Other ( eci ) <br />Test Method Used: <br />U Pressure <br />U vacuum <br />tHydrostatic . <br />U Other (4ndf) <br />/ <br />Test Eg* Used: c, 4 t d ,it i 1 Let -e G <br />, f ��.' Y.- <br />P Reswufw. / Gt,� 1.0.1 <br />Sump'# .Z <br />Same # <br />SUMP 4 Samp # <br />Sump Diameter2 <br />`' <br />X4 i <br />Same <br />I/ o <br />S (Z t r <br />Sump Material: <br />� s g <br />F i Lu <br />i" " lu <br />Height from Tank Top to Top of <br />, i <br />`� <br />'r <br />Penetration: <br />! 5 <br />Height from Tank Top to Lowest <br />r t <br />1 0 1 1 <br />Electrical Penetration: <br />Condition pf sump prior to "t is : <br />D r <br />V y <br />Portion of Sump Tested' <br />a.Ja.d-e 1-,9,L- t6 '' <br />Wad cr Leine L l`1 `r <br />Does turbine shut down when <br />SUMP sensor detects liquid (boor <br />es U No U NA <br />es UNo U NA <br />U Y U No U NA U . UNo U NA <br />duct and wai ccr <br />Turbffie shutdown response time <br />Is system programmed for fait safe <br />`'Yea UNo U NA <br />\\4 <br />� UNo UNA <br />UY UNo U NA U UNo U NA <br />as <br />, 2e verified to be <br />U No U NA <br />James UNo U NA <br />U Y UNo NA U UNo U NA <br />o <br />.0 <br />Wait time between applying <br />p,rCs5UMN%cuurqAVVer d starting <br />test: <br />i t7.P�t r WV44 5 <br />i wti rvs•wt, ,.s . <br />Test Start Time�p <br />Initial Reacting W, <br />!— r �5 + C t rL(� <br />f ✓ G <br />Test End Time: <br />2! 6j <br />3 ; t o <br />Final Reading,(RF): <br />r t rs t Gt t <br />17 r rs+j U <br />Test Duration: <br />3 O rYt r.v-A4_5 <br />3 6 Wn <br />'Change in R (Ra -R)- <br />100 <br />Pass/Fag Threshold or Criteria: <br />l c -r✓ ,4e <br />.00 Om <br />Was sdasotr removed for testing? <br />s UNo U NA <br />ea U No U NA <br />U Yes�No U NA U Yes�No U NA <br />Was sensorpmpedy replaced and <br />Verifiedaides testin <br />es UNo U NA <br />)?(Yes U No U NA <br />U Yes U No UNA. U Y UNo UNA <br />COMMemhs - (include:ltrformadm on repairs made p*r to resting; mrdmW foliow-um for fated tests) <br />I If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (*) is "NO" or `STA", the entire sump must be (See SWRCB LG -160) <br />
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