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COMPLIANCE INFO_2011-2018
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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PR0232224
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COMPLIANCE INFO_2011-2018
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Last modified
4/7/2021 10:16:11 AM
Creation date
6/3/2020 9:56:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_2011-2018.tif
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EHD - Public
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Ll <br />AiltechPeft- <br />Compliance without Compromise <br />FACILITY INFORMATION: <br />P.O. Box 4208 <br />Sonora CA 95370 <br />Ca: 623541 A-Haz <br />Phone: 209-532-7320 <br />Fax: 209-533-2650 <br />mai[@aI[techpetro.com <br />www.alitechpetro.com <br />Facility Name: Hammer 1-5 Arco Date of Testing: Thursday, May 26, 2016 <br />Facility Address: 3250 W. Hammer Lane Stockton CA <br />Facility Contact: Wes Parkinson Phone: (209) 474-9125 <br />Notification Date of Local Agency: 05/19/16 <br />Name of Local Agency Inspector: Stacy Rivera <br />SPILL BUCKET TESTING INFORMATION: <br />Test Method Used: ® Hydrostatic ❑ Vacuum ❑ Other <br />Test Equipment Used: 1 -Hour Observed Test <br />Equipment Resolution: 1/16" <br />Identify Spill Bucket <br />1 87A Syphon <br />2 87B Master <br />3 91 <br />4 <br />Bucket Installation Type: <br />❑ Direct Bury <br />® In Sump <br />❑ Direct Bury <br />® In Sump <br />❑ Direct Bury <br />® In Sump <br />❑ Direct Bury <br />El in Sump <br />Wait time between <br />applying vacuum/water <br />and start of test: <br />None <br />None <br />None <br />Test Start Time (T): <br />9:00 am <br />9:00 am <br />9:00 am <br />Initial Reading (R): <br />1 3/4" above cap <br />2 1/4" above cap <br />11/4" above cap <br />Test End Time (TF): <br />10:00 am <br />10:00 am <br />10:00 am <br />Final Reading (RF): <br />1 3/4" above cap <br />2 1/4" above cap <br />1°1/4" above cap <br />Test Duration (TF — T,): <br />j 1.0 Hr <br />1.0 Hr <br />1.0 Hr <br />Change in Reading (RF- R): <br />0.0 <br />0.0 <br />0.0 <br />Pass/Fail Threshold or <br />Criteria: <br />1/16" <br />1/16" <br />1/16" <br />Test Result: n, 129 Pass LJ Fail I IN Pass LJ Fail I J�g Pass LJ Fail ( (J Pass U Fail <br />Comments — (include information on repairs made prior to testing, and recommended follow. -up for failed <br />tests) <br />CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />I hereby certify that all the information contained in this report is true, accurate, and in full compliance with <br />legal requirements. <br />Signature of Technician: ; " _` Date: 05/26/16 <br />
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