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COMPLIANCE INFO_2014-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_2014-2018
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Last modified
7/2/2020 12:18:05 PM
Creation date
6/23/2020 6:53:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2018
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
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231820_1990 N PICCOLI_2014-2018.tif
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EHD - Public
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RECEIV,,�.pRECEIVED <br />D' ---C1 6 2616 <br />DSC 6 2��6 <br />ENVIRON <br />MENTAL HEALTH <br />TAIT ENVIRONMENTAL HEALTH.GEp. T u <br />DEPARTMENT <br />R: 214�56M222 www-,ait,coni <br />Test Date: 11/21/2016 <br />LEAK DETECTOR TESTING <br />Facility ID: 01 Client Name: Unified Grocers, Inc <br />Street Address: 1990 Piccoli Rd. Technician: Wes Morrison <br />City: Stockton ICC #: 8250125. <br />Zip Code / State: 95215 / CA Manufacturer Cert #: <br />Test Information <br />Product <br />Diesel <br />Diesel <br />Manufacturer <br />FE-Petrro <br />Vaporless <br />Model <br />Ld2000 <br />New Leak Detector <br />Yes/No <br />No <br />No <br />Serial Number <br />Electronic LD <br />Yes/No <br />No <br />No <br />Calibrated Test Leak <br />Rate: (189 mil/min <br />Yes <br />Yes <br />10 PSI) (Yes/No <br />Check Valve Holding <br />PSI <br />32Psi <br />39psi <br />Resiliency <br />(Bleed Back MIL) <br />105ML <br />200ML <br />Slow Flow <br />Metering PSI / N/A <br />9Psi <br />15psi <br />Turbine Shut Down <br />Electronic LD <br />N/A <br />N/A <br />Yes/No/NA <br />Slow Flow At Nozzle <br />Yes/No/NA <br />Yes <br />Yes <br />Opening Time <br />(Seconds) <br />3 seconds <br />3 sec. <br />Pass/Fail <br />Pass <br />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: Med Wto""w Date: 11/21/2016 <br />CA lice 588098 1 AZ 1lca 095984 1 NV hc# 0049666 f TX Iic# CR0000041 <br />
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