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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, MAY 2002 Page—1 Of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed by: Tank Manufacturer Industry Standard Professional Engineer <br /> Other(Specify) <br /> Test Method Developed by: Pressure Vacuum Hydrostatic <br /> C3 Other(Specify) <br /> Test Equipment Used: 6,r elAe'ek Equipment Resolution: 1.57' ,;, <br /> Tank# -/- Tank# TAnk# Tank# <br /> Is Tank Exempt From Testing?' Yes C3 No Yes 2 No Yes No Yes No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying press i ire/ <br /> vacuum/water&starting test: <br /> Test Start Time: a 2—OQ-- <br /> Initial Reading(Ri): Zn OZL�f lelznl" <br /> Test End Time: <br /> Final Reading(R,,): <br /> Test Duration: <br /> Change in Reading(RF-Rt): <br /> Pass/Fail Threshold or Criteria: <br /> TEST RESULT' JU PASS FAIL 17PASSOqFAIL PASS FAIL PASS, FAIL <br /> Was sensor removed for testing?- 13 Yes C3 No C3 NA 0 Yes C3 N? NLA OYes C3NoONA [3 Yes 0 No Q NA <br /> Was Sensor properly replaced& OrYes C3 No[3 NA a Yes No C3 NA [3 Yes C]No[3 NA 0 Yes 0 No C3 NA <br /> verified functional after testing? <br /> Was Sensor properly replaced& en-.I--f'l XT_I'l XT A <br /> verified functional after testing9- es <br /> Comments <br /> _41yas-allo C3 NA <br /> Comments-(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary contain- <br /> ment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. <br /> (California Code of Regulations,Title 23,Section 2637(A)(6)) <br />
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