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COMPLIANCE INFO_2003-2008
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231216
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COMPLIANCE INFO_2003-2008
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Last modified
12/4/2023 2:32:22 PM
Creation date
6/3/2020 9:46:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2008
RECORD_ID
PR0231216
PE
2361
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231216_4511 PACIFIC_2003-2008.tif
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EHD - Public
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SWRCB,January'2002 Page Z of _b <br /> 9. SPILL/OVERFILL CONTAROMNT BOXESO <br /> Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer ndustry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ydrostatic <br /> ❑Other(Specify) <br /> Test Equipment UsedEquipment Resolution <br /> Spill Box# t q l Spill Box# 'Y- Spill Box# Spill Box# <br /> Bucket Diameter: 1 ( l <br /> Bucket Depth: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: - f <br /> Initial Reading(Rj): 1 0" Z'i <br /> Test End Time: o <br /> Final Reading(RF): ') /i <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or ® ------ <br /> Criteria: <br /> Test Result: ❑ Pass ail Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Commenis—(include information on re airs made prior to testing,.and recommended follow-up for failed tests) <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 1001 "I"Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone: (916)341-5873,Fax: (916)341-5808 <br /> e-mail:bacons@cwp.swrcb.ca.gov <br />
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