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COMPLIANCE INFO_2001-2009
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2001-2009
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Last modified
12/28/2023 11:29:54 AM
Creation date
6/3/2020 9:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2009
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2001-2009.tif
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EHD - Public
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I <br />SWRCB, January 2002 <br />so 00 <br />Page Z-- of <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: <br />Tank Manufacturer ❑ Industry Standard 0 Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure `Vacuum C Hydrostatic <br />❑ Other (peck) <br />Test Equipment Used: 4 <br />Is Tank Exempt From Testing?, <br />crtc�®ems. cttt:ftW e,uc<,, i Equipment Resolution: ` ;1 <br />Tank # I-j), a 3 Tank # ' Tank # Tank # <br />❑ Yes o ❑ Yes ❑ No `; ❑ Yes ❑ No `t ❑Yes a No <br />Tank Capacity: <br />Tank Material: <br />SS <br />Tank Manufacturer: <br />K r-1— 5-1--cwt. <br />Product Stored: <br />I2.c , Su fvS� <br />Wait time between applying <br />pressure cuu water and <br />startin test: <br />; <br />Test Start Time: <br />4 / i3 <br />Initial Reading (111): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration:�1�� <br />Change in Reading (RF-Ri):Pass/Fail <br />9�0 <br />Threshold or Criteria:Test <br />Result: <br />"Pass ❑ Fail ❑.Pass ❑ FIail ❑ rP,Pass ❑ ll <br />Was sensor removed for testing? Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NtA ❑ Yes ❑ No ❑ INA ❑ Yes ❑ No ❑ ,,A <br />Was sensor properly replaced and <br />verified functional after testing? Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA( 1 Yes ❑ No ❑ N� 0 Yes ❑ No ❑ NA. <br />Comments -- (include in ormation on repairs made prior to testing; and recommended ollow-u or ailed tests) <br />'Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or ender constant vacuum, are exempt from periodic contaimtient <br />resting. ,California Code of Regulations, Title 23, Section 2637(a)(6)) <br />
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