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COMPLIANCE INFO_2015-2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231497
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COMPLIANCE INFO_2015-2019
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Last modified
10/11/2023 2:05:16 PM
Creation date
6/3/2020 9:50:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0231497
PE
2361
FACILITY_ID
FA0000279
FACILITY_NAME
ESCALON MINI MART
STREET_NUMBER
1097
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22510001
CURRENT_STATUS
01
SITE_LOCATION
1097 YOSEMITE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231497_1097 YOSEMITE_2015-2019.tif
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EHD - Public
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Page 6 of 7 <br />8. FILL RISER CONTAINMENT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sumps X <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ ._... , <br />`Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Prof o <br />0 Other (Spec) <br />Test Method Used: <br />0 Pressure 0 Vacuum <br />❑ Other (Sped) <br />❑ Hydrostatic J A 11 0 ` 2,01 h <br />Test Equipment Used: <br />Sump Diameter: <br />Fill Sump # Fill Sump # <br />Equipment Resoluti <br />Fill Sump # Fill Sump # <br />Sump Depth: <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testing: <br />Portion of Sump Tested <br />Sump Material: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (RI): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Chane in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Test'Result: <br />U Pass U Fail U Pass U Fail <br />U Pass U Fail U Pass U Fail <br />Is there a sensor in the sump? <br />0 Yes ❑ No ❑ Yes ❑ No <br />❑ Yes 0 No ❑ Yes ❑ No <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />❑ Yes U No DNA ❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA 0 Yes ❑ No ❑ NA <br />Was sensor removed for testing? <br />0 Yes 0 No❑ NA ❑ Yes 0 No ❑ NA <br />❑ Yes 0 No 0 NA ❑ Yes ❑ No 0 NA <br />Was sensor properly replaced and 0 Yes ❑ No ❑ NA ❑ Yes 11 No 0 NA 0 Yes 0 No DNA ❑Yes ❑ No 11NA <br />verified functional after testing? <br />COMMentS — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />
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