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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MOSSDALE
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/22/2020 9:25:12 AM
Creation date
6/11/2020 3:51:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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2. SECONDARY LINES/PIPING TESTING <br /> Company Name: B.Z. Service Station Maintenance <br /> Company Address: 1041 Triangle Ct., West Sacramento,CA 95605 _ <br /> Credentials: ® CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester <br /> License Type: ICC License Number: 433159 <br /> Product Lines ❑ Vent Lines ❑ Vapor Lines ❑ <br /> Test Equipment Used: PRESSURE GAUGE Equipment Resolution:0.5 PSI <br /> Piping Run# Piping Run# Piping Run# Piping Run# <br /> Test Start Time: <br /> Initial Reading(Rr): PSI PSI PSI PSI <br /> Test End Time: 7 <br /> Final Reading(RF): PSI PSI PSI PSI <br /> Test Duration: I HR 1 HR I HR 1 HR <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or 0 0 0 0 <br /> Criteria: <br /> Test Result: ❑ Pass El Fail El Pass ❑ Fail El Pass ❑ Fail ❑ Pass E] Fail <br /> Product Lines ❑ Vent Lincs ❑ Vapor Lines ❑ <br /> Test Equipment Used: PRESSURE GAUGE Equipment Resolution:0.5 PSI <br /> Piping 11m # Piping; Run # Pipilig Run# Piping Run# <br /> Test Start Time: <br /> Initial Reading(Rr): PSI PSI PSI PSI <br /> Test End Time: <br /> Final Reading(RF): PSI PSI PSI PSI <br /> Test Duration: I HR 1 HR 1 HR 1 HR <br /> Change in Reading(RF-Ri): _ <br /> Pass/Fail Threshold or 0 0 0 0 <br /> Criteria: i I — <br /> Test Result: [] Pass [] Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑Pass ❑ Fail <br /> Product Lines ❑ Vent Lines ❑ Vapor Lines ❑ <br /> Test Equipment Used: PRESSURE GAUGE Equipment Resolution: 0.5 PSI — <br /> Piping Run # Piping; Run# Piping Run# Piping Run # <br /> Test Start Time: <br /> Initial Reading(Ri): I'SI PSI PSI PSI <br /> "fest End Time: <br /> Final Reading(RF): PSI PSI PSI _ Ills] <br /> Test Duration: 1 HR 1 HR 1 HR _ I HR l <br /> Change in Reading(RF-R,): -- <br /> Pass/Fail Threshold or l� 0 0 0 <br /> Criteria: <br /> Test Result: [—fol ❑ Fail ❑ Pass ❑ Fail 0 Pass 0Fail ❑ Pass ❑ Fail <br />
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