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COMPLIANCE INFO_2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232482
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COMPLIANCE INFO_2018
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Last modified
7/20/2020 2:04:15 PM
Creation date
7/20/2020 1:37:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0232482
PE
2361
FACILITY_ID
FA0003719
FACILITY_NAME
WEST LANE CHEVRON
STREET_NUMBER
4747
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10437010
CURRENT_STATUS
01
SITE_LOCATION
4747 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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Street Drop Tube Integrity <br /> 4162nd St <br /> Affords Telt r <br /> Galt,Ca.9 reef <br /> (209)744-0112(800)524-9087 FAX(209)744-0116 ® Static Torque&Rotation <br /> TEST DATE: 9/19/2018 TIME: <br /> TECHNICIAN NAME: <br /> SITE NAME: WEST LANE CHEVRON AIR QUALITY AGENCY: S 1 V A P C D <br /> ZANE NIMMO <br /> Site Address:4747 N.WEST LANE INSPECTOR NAME:U T O <br /> I declare, under penalty of perjury under the laws of the state o.1 <br /> City: STOCKTON,CA 95210 California that based on information and belief formed after <br /> Phone: reasonable inquiry, the statements and information provided in ® Present ❑ Not Present <br /> the document are true,accurate,and complete. <br /> Contact: <br /> TECH SIGNATURE: ❑ Straight ® Overfill Prevention Device <br /> Confirmation#18-25937 Permit Equipment: <br /> Facili # N-2522 ❑Incline Manometer ®Flow Meter Calibrated Dail <br /> DROP TUBE & OVERFILL PREVENTION DEVICE PRESSURE INTEGRITY TEST <br /> Drop Tube Drain Valve Pressure Test Drop Tube Overfill Prevention Device Test "Corrected" Overfill Device Leak Rate <br /> Flow Rate 80m1/min .17 Flow Rate 200 ml/min .42 <br /> Time to Drain Minus Equals <br /> R-Regular reach 2" Valve Final Time to reach 2" Overfill Leak Ftnal Overfill Device Drain Valve Corrected Lk Rate <br /> P=Plus H2O at 80 Leak Rate Pressure H2O at 200 ml rate Pressure Leak Rate Leak Rate for Overfill Device <br /> S=Super ml/min 2"H2O—30 sec 2"H2O—30 See <br /> Tank Grade ml/min In H2O (in sec) ml/min In H2O ml/min ml/min ml/min <br /> 87 EAST 159 0 2.03 PASS <br /> 87 MIDDLE 147 0 2.07 PASS <br /> 91 137 0 2.09 PASS <br /> STATIC TORQUE & ROTATION <br /> Vapor Adaptor: 1 2 3 4 Product Adaptor: 1 2 3 4 <br /> Brand: P H I L Brand: T I T E <br /> Model; EAST Middle Model: EAST Middle <br /> Product Grade: 87 87 91 Product Grade: 87 87 91 <br /> Torque#1: 35 25 25 Torque#1: 15 35 25 <br /> Torque#2: 35 25 25 Torque#2: 15 35 25 <br /> Torque#3: 35 25 25 Torque#3 15 35 25 <br /> Average: 35 25 25 Average: 15 35 1 25 <br /> 360 Rotation YES YES YES --- 360 Rotation: YES YES YES --- <br />
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