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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 0 Page — of <br />C S. FELL MER CONTAXNWNT SUMT TESTING <br />Facility is Not Equipped With Fill Rim Containment Sumps X <br />Fiji Riser containment Snp are Present, but were Not Tested 0 <br />Test Method Developed By: 0 Sump Manufacturer 13 Industry Standard D Professional Engineer <br />0 Other {Spero) <br />Test Method Used: 1) Pressure 0 Vacuum 0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: I Equipment Resolution: <br />Sum S Sump Diameter: <br />amot <br />Sump # <br />Sump# <br />Fill Sum # Fill Sanig # <br />S: 0 <br />Sump Depth: <br />Height <br />H eiShPi i I <br />f <br />rom <br />Heiaht from Tank Top to Top of <br />i W <br />Hi host P!ping Penetration: <br />I <br />Height 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 (RI),, <br />Test End Time: <br />Final R,e�Wm (Rf): <br />Test Duration, <br />Chan e in Readlug (&-Ri): <br />Pass/Fail Threshold or Criteria: <br />mT <br />Is there a sensor in the sump? <br />0 Yes 0 No <br />D Yes 0 No <br />0 Yes 0 No 0 Yes 0 No <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />DYes ONo DNA <br />OYes 0 N* DNA <br />0 Yes 0 No 0 NA 0 Yes 0 No 0 NA <br />Was sensor removed for testing?0 <br />Yes 0 No 13 NA <br />OYes DNo, DNA <br />DYes ONo 0 NA DYes ONO DNA <br />Was sensor property replaced and <br />verified functional after !!s ' ? <br />0 Yes 0 No D NA <br />I <br />0 Yes 11 No D NA <br />0 Yes 0 No 0 NA 0 Yes 0 No 0 NA <br />I <br />. Comments — (include information on repairs made prior to testing, and recommendedr faded tests) <br />ENVIRONMENIAI - HEA1 TH <br />DEPARTMENT <br />
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