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COMPLIANCE INFO_2003-2008
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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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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STOCKTON SERVICE TATION EQUIPMENT Co. INC. <br /> 808 N. ONION STREET <br /> STOCK N, CA 95205-4152 <br /> PHONE 209.464118333 FAX 209.464.8349 <br /> LDT-890 LEAK TECTOR TEST RECORD <br /> CUSTOMER: Pacific mini mart&Gas <br /> DATE: August 24,2005 <br /> LOCATION: 4511 Pacific Avenue <br /> CITY: Stockton ZIP: 95207 <br /> TECHNICIAN: RANDYC'MADWICK i <br /> ---�Su�bmer' eftw�pld�iibii_ficatfo_n' <br /> Manufacturer el Serial Number <br /> Red jiteket 3/4 H. P. 04033,165 <br /> Leak Del for Identification <br /> Marjuf'av+.urer Descri t' Other Style Leak Detector <br /> yag!Lrless <br /> Diaphkra t'type <br /> Piston- e! x <br /> Leak Det4 Wr in Submersible Pump <br /> root at Dispenser <br /> I. Operating Pump Pressure 4L6 psi (Purging Test System) <br /> 2. Gallons per hour rate 3 �4�NS (Leak Test,Phase 1) <br /> 3. Line pressure with pump shut O I2 psi (Leak Test Phase 1) <br /> 4. Bleed-Bpck Test with pump off t 125 ml (Bleed-back Test) <br /> 5. Step-through time to full flow 15 seconds (Step-through Time) <br /> 6. Leak detector stays in leak sears o position. (Leak Test Phase 11)Yes X No <br /> LEAK DETECTOR TEST <br /> Note: Pass=Leak detector fits test protocol <br /> Fall =Leak detector fails test protocol <br /> Pass x <br /> Fail <br /> it <br /> Form 890C <br />
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