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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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? SWR6, January 2002 <br />A 1. <br />0 Page . of <br />Test Method Developed By, <br />0 Tank Manufacturer 0 Industry Standard 0 Professional Engineer <br />1) Other (SPect5l) <br />Test Method Used. <br />0 Pressure <br />0 Other (Speco) <br />0 Vacuum <br />0 Hydrostatic <br />Fest Equipment Used: <br />Is Tank Exempt From Testing? <br />Tank # 87 <br />0 Yes XNo <br />Tank # 91 -DSL <br />0 Yes XNo <br />Nuipment Resolution: <br />Tank # Tank # <br />0 Yes 0 N 0 Yes 0 No <br />Tank Capacity: <br />12,000 <br />6,000 —6,000 <br />Tank Material: <br />STEEL - <br />FIBERGLASS <br />STEEL - <br />FIBERGLASS <br />Tank Manufacturer: <br />DOOR <br />DOOR <br />Product Stored: <br />GAS <br />GAS <br />Wait time between applying <br />pressure/vacuum1water and <br />starting test <br />15 MINUTES <br />15 MINUTES <br />Test Start Time: <br />10:15 AM <br />10:15 AM <br />Initial Reading (R� : <br />-10 HG <br />-10 HG <br />Test End Time: <br />11,15 AM <br />11:15 AM <br />Final Reading (RO: <br />-10 HG <br />-10 HO <br />Test Duration, <br />I HR <br />I HR <br />Change in Reading (RF -RD: <br />0 <br />0 <br />Pass/Fail Threshold or Criteria: <br />0 <br />0 <br />�4. �!jnj <br />Was sensor removed for testing? <br />X Yes 0 No 0 NA <br />X Yes 0 No DNA <br />0 Yes ONo DNA DYes ONo'DNA <br />Was sensor properly replaced and <br />verified functional after testing? <br />X Yes 0 No DNA <br />X Yes D No DNA <br />0 Yes DNo DNA D Yes 0 No 0 NA <br />information on repairs made prior to testing and recommene�dllow-upfbrfai ed tests <br />' Secondary containment systems where the continuous monitoring automatically monitors'both the primary and secondary <br />contain mens, 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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