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COMPLIANCE INFO_2015-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0516248
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COMPLIANCE INFO_2015-2018
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Last modified
10/13/2023 11:28:32 AM
Creation date
6/3/2020 10:00:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2018
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_2015-2018.tif
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EHD - Public
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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 ❑ <br /> Test Method Developed By: ❑ Sump Manufacturer ®Industry Standard ❑Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum 7 Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: See attached testing procedures Equipment Resolution: Inches <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Highest 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 <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(R,): Inches Inches Inches Inches <br /> Test End Time: <br /> Final Reading(RF): Inches Inches Inches Inches <br /> Test Duration: 15 minutes <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: 0.002 0.002 <br /> Test Result: ❑ Pass =❑,Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass p Fail <br /> Is there a sensor in the sum ? ❑Yes ❑No ❑Yes ❑No ®Yes ❑No ®Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA El Yes ❑No ❑NA Z Yes ❑No ❑NA <br /> detected? <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA p Yes ❑No ❑NA p Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ®Yes ❑No ❑NA p Yes ❑No ❑NA <br /> verified functional after testin . <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> *No Fill Sumps <br /> (i i <br /> v<� a 1" <br /> r aa, al 9 r <br />
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