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COMPLIANCE INFO_2000-2005
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0516248
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COMPLIANCE INFO_2000-2005
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Last modified
10/19/2023 3:05:39 PM
Creation date
6/3/2020 10:00:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2000-2005
RECORD_ID
PR0516248
PE
2361
FACILITY_ID
FA0012532
FACILITY_NAME
CHEVRON STATION #209167
STREET_NUMBER
1234
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120016
CURRENT_STATUS
01
SITE_LOCATION
1234 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0516248_1234 E YOSEMITE_2000-2005.tif
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EHD - Public
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Pae Z- <br /> 0 of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: D Tank Manufacturer ®Industry Standard D Professional Engineer <br /> D Other(Specify) <br /> Test Method Used: D Pressure ®Vacuum D Hydrostatic <br /> D Other(Specify) <br /> Test Equipment Used: DIAL GAUGE Equipment Resolution:0 to 15"Hg Vacuum <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?° D Yes 10 No D Yes QjNo D Yes D No D Yes D No <br /> Tank Capacity: ,,Q:P0ALLONSi° GALLONS GALLONS GALLONS <br /> Tank Material: `S /QC 3' ks-s <br /> Tank Manufacturer: <br /> Product Stored: rq ..�As <br /> Wait time between applying <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> Test Start Time: 'C 0 <br /> Initial Reading(RO: "HG (D "HG "HG <br /> "HG <br /> Test End Time: C7 4... <br /> .. 7 J <br /> Final Reading(RF): Q "HG ®0 "HG "HG "HG <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-R): 0 "HG 4 "HG "HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> Owls K <br /> ..1F EAS 9[Rno <br /> Was sensor removed for testing? D Yes D No D NA D Yes D No DNA D Yes D No D NA D Yes D No DNA <br /> Was sensor properly replaced and D Yes D No D NA D Yes D No DNA D Yes D No D NA D Yes D No DNA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Chevron-209167 <br /> 1234 Yosemite Avenue <br /> Manteca, CA 95336 <br /> N05295-S989 Testing <br /> "Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containment,such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment <br /> testing. {California Code of Regulations,Title 23,Section 2637(a)(6)) <br />
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