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COMPLIANCE INFO_2001-2009
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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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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SWRCB, January 2002 Page tf of <br />Test Method Developed By: <br />iping Manufacturer ❑ Industry Standard C1 Professional Engineer <br />r6ther <br />(Spec) <br />Test Method Used: <br />)t'ressure <br />❑ Vacuum <br />0 Hydrostatic <br />Other (Specify) <br />Test Equipment Used: ���,� It p (; r ,tir E S T <br />,..� <br />Equipment Resolution: <br />Piping Run # <br />Piping Run # t, <br />Piping Run # "7 <br />Piping Run # <br />Piping Material: <br />Fido. SSS <br />®' <br />f`�'�er� 4? <br />Piping Manufacturer:Awo <br />ve e, <br />✓�a�r <br />x t o <br />Piping Diameter: <br />31, <br />e j <br />Length of Piping Run: <br />1 <br />? ®+�'P / S ` <br />ti ® <br />d a <br />Product Stored: <br />u� q <br />5,t r 4 U— <br />r S �_ <br />I c� f <br />Method and location of <br />i ,-s$ 64 <br />5 ;"l ?$ <br />4 <br />PIP in -run isolation: <br />57 P<1,) � � <br />� ' <br />Wait time between applying <br />cuum/water and <br />:Z!!re�s�s:urme <br />: <br />Test Start Time: <br />f j <br />`f a s-- <br />Initial Reading (Rr): <br />f --p <br />t T <br />Test End Time: <br />Final Reading (RF): <br />r <br />, ..- <br />E'� <br />Test Duration: <br />bo ,I <br />V1,,- <br />14 4w <br />Change in Reading (RF -R,): <br />% r-- <br />Pass/Fail Threshold or <br />Criteria: <br />J 11 f 55� _ l <br />I1 110S.5- <br />Ne) Lois i $:- <br />,/ud <br />Test Result: <br />-Pass ❑ Fail <br />bass 0 Fail <br />Pass ❑ Fail <br />jjPass ❑ Fail <br />Comments -- (include information on repairs made prior to testing and recommended follow up for failed tests) <br />
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