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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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SWRCB, January 2002 <br />.8. 11 1 FILL -RISER CONTAINMENT SUMP TESTING <br />Page a of <br />;7— <br />Facility is Not Equipped With Fill Riser Containment Sum s <br />Fill Riser Containment Sumps are Present, but were Not Tested 0 <br />Test Method Developed By: 0 Sump Manufacturer ❑ Industry Standard 0 Professional Engineer <br />0 Other (Spec) <br />Test Method Used: 0 Pressure 0 Vacuum C Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: Equipment Resolution <br />Fill Sum p # Fill Sump # <br />Sump Diameter: <br />Fill Sum # <br />Fill Sump# <br />Sum Depth: <br />Height from Tank Top to Top of <br />Hi est Pi in 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 f <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading RF): <br />a <br />Test Duration: <br />ChanLe in Reading RF -R,): <br />Pass/Fail Threshold or Criteria: <br />Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />❑ Pass ❑ Fill. <br />❑ Pass ❑ Fail <br />Is there a sensor in tKe sump? 0 Yes ❑ No 0 Yes 0 No <br />❑ Yes 0 No <br />❑ Yes 0 No <br />Does the senor, arm when <br />either product/Or water is ❑ Yes O No ❑ NA ❑ Yes G No DNA <br />detected? <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />Was se or removed for testing? 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA <br />0 Yes O No ❑ NA <br />❑ Yes 0 No ❑ NA <br />Was Onsor properly replaced and ❑ yes 0 No DNA 0 Yes 0 No DNA <br />verified functional after testing? <br />0 Yes C No 0 NA <br />0 Yes a No 0 NA <br />Comments (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />
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