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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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P
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PICCOLI
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1990
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2300 - Underground Storage Tank Program
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PR0231820
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
3/8/2021 9:27:37 AM
Creation date
6/18/2020 9:46:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231820
PE
2361
FACILITY_ID
FA0003826
FACILITY_NAME
Supervalu
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10121001
CURRENT_STATUS
01
SITE_LOCATION
1990 N PICCOLI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Ili TAIT <br />u 1 Ei Wilinrbt 21,31 S. DArpt.r... tthls..‘411 , CA 1291.1f.: <br />406018222 wwwIoIIcom <br />Test Date: 11/09/2018 <br />LEAK DETECTOR TESTING <br /> <br />Facility ID: 01 <br /> <br />Client Name <br />Technician. <br />ICC #: <br />Manufacturer Cert <br /> <br />Unified Grocers. Inc <br /> <br />Street Address: 1990 Piccoli Rd. <br /> <br />Pat Banbury <br />City: Stockton <br /> <br />5254955 <br />Zip Code / State: 95215 <br /> <br />/ CA <br /> <br />1786/ 1001733709 <br /> <br />Test Information <br />Product Diesel Diesel <br />Manufacturer Vaporless Fe Petro <br />Model LD-3000 STP-MLD-D <br />New Leak Detector <br />(Yes/No) No No <br />Serial Number 00310065 MH-1393 <br />Electronic LD <br />(Yes/No) No No <br />Calibrated Test Leak <br />Rate: (189 mil/min <br />@ 10 PSI) (Yes/No) <br />Yes Yes <br />Check Valve Holding <br />PSI 40 13 <br />Resiliency <br />(Bleed Back MIL) 350 150 <br />Slow Flow <br />Metering PSI / (N/A) 25 11 <br />Turbine Shut Down <br />Electronic LD <br />(Yes/No/NA) <br />N/A N/A <br />Slow Flow At Nozzle <br />(Yes/No/NA) Yes Yes <br />Opening Time <br />(Seconds) 4 6 <br />Pass/Fail Pass Pass <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment manufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The leak detector test pass/fail is determined using a low flow threshold trip <br />rate of 3 gph at 10 PSI. <br />Technician Signature: pat Eaitictize, <br /> <br />Date: 11/09/2018 <br /> <br />CA Hot 538098 I AZ licit 095984 / 110 0049666 / TX lid/ CR0000041 <br />321 16.,
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