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COMPLIANCE INFO_2009-2013
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232494
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COMPLIANCE INFO_2009-2013
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Last modified
11/14/2023 12:52:58 PM
Creation date
6/3/2020 9:57:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2013
RECORD_ID
PR0232494
PE
2361
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232494_7373 WEST_2009-2013.tif
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EHD - Public
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S W RCB, January 2002 Page L of� <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps <br /> Fill Riser Containment Sumps are Present, but were Not Tested D <br /> est Method Developed By: ❑ Sump Manufacturer D Industry Standard O Professional Engineer <br /> 7 <br /> D Other(Spec) r <br /> Test thod Used: 0 Pressure 0 Vacuum 11 Hydrostatic <br /> D Other(Specify) <br /> Test Equipmen sed: Equipment Resolutio . <br /> Fill Sume# Fill Sum # Fill Sum # Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Hi est Piping 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 fr% <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 /> Test Duration: <br /> Change in Reading RF-R, <br /> Pass/Fail Threshold or teria: <br /> Test Result: ❑ Pass ❑Fall ❑ Pass ❑ Fail ❑ Pass ❑Fall ❑ Pass 0 Fail <br /> Is there a sensor/id the sump? D Yes D No D Yes D No D Yes ❑No ❑Yes ❑No <br /> Does the seq alarm when <br /> either prgduct or water is D Yes D No DNA ❑Yes D No DNA D Yes ❑No DNA D Y D No ❑NA <br /> detect d? <br /> W sensor removed for testing? ❑Yes 0 No 0 NA ❑Yes D No ❑NA D Yes D No D NA ❑Yes D DNA <br /> Was sensor property replaced and <br /> verified functional after testing? Dyes ❑No DNA ❑Yes D No DNA D Yes D No DNA 1 D Yes 0 No D <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />
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