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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
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\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_1986-2001.tif
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EHD - Public
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a <br />4.NTri®. <br />Name of Supplier. Owner or Dealer Address No. and Streets) City State Date of Test <br />15. TANK TO TEST <br />15a. BRIEF DIAGRAM OF TANK FIELD <br />16. CAPACITY From <br />P4F� <br />/ (❑7 Station Chart <br />! o d ®� Lt.1 Tank Manufacturer's Chart <br />d <br />24a. Corrected A.P.I. Gravity <br />Nominal Capacity <br />Gallons Company Engineering Dala <br />by position <br />�Idenlhy <br />/ PC 8it-- � �- <br />full tank (16 or 17) <br />By most accurate y 7z �'y ❑Charts supplied with <br />capacity chart available j ; ❑ Other <br />Gallons <br />Brand and Gra <br />i <br />17. FILL -UP FOR TEST <br />Stick Water Bottom <br />before Fill -up 2 In. in. Inventory <br />to A" Gallons Tank Diameter <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK M Water In tank ❑ Line(s) being tested with LVLLT <br />See manual sections applicable. Check below and record procedure In log (27). ❑ High water table in tank excavation <br />Use maximum allowable teat pressure for all teats. 19. TANK MEASUREMENTS FOR <br />Four pound rule does not apply to doublewatled tanks. TSTT ASSEMBLY <br />Complete section below: w� <br />Bottom of tank to grade' ............................ 15-6 In. <br />1� <br />Add 30" for "T" probe easy ........................... 30 in. <br />1. Is tour pound rule required? Yes E]No[a Total tubing to assemble — approximate ............. In. <br />2. Height to 12" mark from bottom of tank % In. 20. EXTENSION HOSE SETTING <br />Tank top to grade' .......................... ........ .—_In. <br />Extend hose on suction tube 6" or more <br />3. Pressure at bottom of tank I P.S.I. L <br />rybelow tank top ...................................... <br />4. Pressure at top of tank 3 r /� v 7Z P.S.I. 'If FIII pipe extends above grade, use top of fill. <br />22. Thermal -Sensor reading after circulation <br />of burial / In. <br />Its In. <br />table In. <br />NOTES: <br />The above calculations are to be used for dry soil conditions to <br />establish a positive pressure advantage, or when using the four pound <br />rule to compensate for the presence of subsurface water In the lank <br />area. <br />Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank <br />manufacturer regarding allowable system test pressures. <br />In. <br />IF <br />23. Digits per IF in range of expected change —1 1 <br />Total Gallons <br />Gallons <br />as. Reading <br />P4F� <br />24a. Corrected A.P.I. Gravity <br />Total quantity in Reciprocal <br />`-743 <br />Transfer total to line 258 <br />full tank (16 or 17) <br />21. VAPOR RECOVERY SYSTEM <br />❑ stage 1 ❑ stage it <br />24b. COEFFICIENT OF EXPANSION <br />Transfer to Line 26a. <br />RECIPROCAL METHOD <br />Typeof Product ........................................ <br />Hydrometer Employed .................................. <br />H <br />Temperature In Tank <br />After Circulation ........................................ <br />.F <br />Temperatureof Sample ................................. <br />.F <br />Difference(t!-)......................................... <br />•F <br />Observed A.P.I. Gravity ................................. <br />Coefficient of Water <br />23. Digits per IF in range of expected change —1 1 <br />Reciprocal Page If <br />digits <br />COEFFICIENT OF EXPANSION (Complete after circulation) <br />24a. Corrected A.P.I. Gravity <br />Total quantity in Reciprocal <br />Volume change In <br />full tank (16 or 17) <br />this tank per IF <br />Observed A.P.I. Gravity ................................... <br />Transfer to Line 26a. <br />Hydrometer employed ................................... H <br />24c. FOR TESTING WITH WATER see Table C a D <br />Observed Sample Temperature ......................... °F <br />Corrected A.P.I. Gravity <br />Water Temperature after Circulation <br />C@ 60°F. From Table A ............................ ........ <br />Table C ................................................ <br />i F <br />Coefficient of Expenslon <br />Coefficient of Water <br />6� <br />for involved Product <br />Table D..............................................Q'obd® <br />FromTable 8 ............................................ <br />Transfer COE to Line 25b. <br />Added Surfactant? 2_1es ❑ No Transfer COE to Line 25b. <br />25. (a) q 7 �t3 X @1 Q,o0a00 <br />�= (00' % 712-27VI <br />gallons <br />Total quantity Ir Coefficient of expansion for <br />full tank (166 or 17)�'.y Involved product <br />Volume change In this tank <br />per IF <br />a <br />26. (a) ®• / 5.6.— . 3 / 1 <br />= ' © dZ-5-007Z00? <br />This Is � � ® Z 1\ <br />Volume change per IF (25 or 24b) Digits per IF In test <br />Volume change per digit <br />test <br />Range (23) <br />Compute to 4 decimal places. <br />factor (a{{{/// <br />) <br />
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