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COMPLIANCE INFO_2010
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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3940
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2300 - Underground Storage Tank Program
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PR0507837
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COMPLIANCE INFO_2010
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Last modified
2/21/2024 4:46:23 PM
Creation date
6/3/2020 9:59:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010
RECORD_ID
PR0507837
PE
2361
FACILITY_ID
FA0008057
FACILITY_NAME
TRACY TRUCK AND AUTO STOP
STREET_NUMBER
3940
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
APN
21220004
CURRENT_STATUS
01
SITE_LOCATION
3940 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0507837_3940 N TRACY_2010.tif
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EHD - Public
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416 2nd Street Phone: (209)744-0112 LINE & LEAK DETECTOR <br /> Gait,Ca 95632 Fax: (209)744-0116 <br /> A fforda-Te t TEST REPORT <br /> �v M 0)), <br /> CONTRACTOR/ENGINEER MAY I TEST DATE 4-28-10 <br /> T <br /> SITE NAME TRACY TRUCK STOP ENVIROMEN I HEALTH PHONE (209) 832 -5006 <br /> PERMIT/SERVICES <br /> SITE ADDRESS 3940 NORTH TRACY BLVD CITY TRACY CA 95304 <br /> Repair/Construction- LOCATION SKETCH Show North <br /> Compliance Ej owners Request <br /> Insurance F] Escrow <br /> Other <br /> Make&Type of Pump or Dispenser <br /> GILBARCO <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 48 <br /> Weather <br /> WINDY <br /> Z I Pressure Suction ❑ SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FX1 DV <br /> E STPMLD <br /> F STPMLD .— D <br /> G STPMLD — E <br /> H STPMLD—D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> Felix Gainza Ramirez ®PASS EIFAIL OINCONCLUSIVE <br /> PETROTITE CERT. DIESEL T.S. .0000 <br /> CCA: E]PASS []FAIL [:]INCONCLUSIVE <br /> OTTL License#: 08-1740 <br /> Trainee: [:]PASS DFAIL [:]INCONCLUSIVE <br /> [:]PASS [:]FAIL E]INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TE! E:IPASS EIFAIL []INCONCLUSIVE <br /> 2,r�a(Lj J <br />
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