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COMPLIANCE INFO_1986-2001
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_1986-2001
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Last modified
1/18/2023 9:51:48 AM
Creation date
6/3/2020 9:56:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2001
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_1986-2001.tif
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EHD - Public
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10 <br />. 4 <br />Xr i -Y:3 aTTH LOU OF TEST PROCEDURE{ <br />(Supplemental) <br />S. 99 L — <br />28. ED <br />! '- Record details of setting up 29. <br />and funningtest. (Use full R•� <br />length of line if needed.) No. <br />To* <br />Q4 M.) <br />PRENURE <br />CONTROL <br />Standpipe Level <br />In <br />VOLUME MEASUREMENT{ (VI <br />REODRO TO ODI SAL <br />•2. Product in 33. Product <br />Grime isced () <br />TEMPERATURE OOMKIISATION <br />USE FACTOR (al <br />35. 36. 37. <br />Thermaf Change Computation <br />Lower • xp • s • <br />Sarhaa Lower - Eapanshohh • <br />Reading Id Contraction - <br />CHANGING <br />EACH READING <br />Temperature <br />AdphsthrWnt <br />Volume Minus <br />recension (•) a <br />Contraction I-) <br />0XV1 _ IN(T) <br />.� ACCUMULATED <br />CHANGE <br />IA. Low Level comptow <br />Change par Hour <br />aiterlp <br />Beginning <br />of <br />Raw" <br />Low to <br />Which <br />IlMtares <br />action <br />bedMhO <br />After <br />Reading <br />Product <br />Reeovared (•) <br />C v <br />t^� <br />1 <br />fiva-zoa <br />" <br />V. o Zos <br />oI <br />4z <br />4 z- <br />Z40 <br />4,126 <br />6 <br />12 <br />" 00 <br />r <br />..LLIZ <br />• tso <br />Q <br />t <br />f-/6 <br />-,OAS' <br />1S " ---- -- '`--- <br />3 <br />.Soooqqs <br />43.1 <br />.O <br />qz- <br />f � _4 <br />(o <br />4z <br />r 6.36 <br />#770 <br />+• 110 <br />7 te <br />+-7 <br />t / <br />—,oa <br />10001 u <br />7 <br />3• <br />z <br />1,770 <br />P 14 <br />t 146 <br />776 <br />+7 <br />;oo <br />/o r , PI <br />d <br />4, <br />Z <br />oSS <br />zoo <br />•; 4 <br />77 <br />+A <br />/ IP4 <br />01 q <br />3610 <br />fi 16-6 <br />+'7 <br />1106 <br />+016o.zv/ <br />o <br />1/4G <br />- <br />4 <br />r3 <br />1z <br />•azo <br />. y7o <br />, <br />* <br />185 <br />035 <br />5 <br />-'00170 <br />PHILIP F. DELGADILLO <br />12251094LL <br />l� <br />P -T Tank Test Data Chart <br />Additional Info <br />Not Volume Changeat Cody n pf PrecI on <br />Signature of Tester <br />Al <br />Hata- /o <br />PP/6M <br />2 Statement: <br />Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. This is not Intended to Indicate <br />pormlulon of a ink. <br />on <br />❑ Tank and product handling system hes failed the tank tightness <br />test according to the Recision Test Criteria as established by <br />N.F.P.A. publication 329. <br />It Is " responsibility of the owner and/or operator of this <br />system to Immediately advise state and local authorities of any <br />Implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the Indicated failure of this <br />system. Heath Consultants Incorporated does not assume any <br />responsibility or liability for any loss of product to the - <br />environment. <br />Tank Owner/Operator <br />Date <br />
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