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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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PR0231764
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COMPLIANCE INFO_2018
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Entry Properties
Last modified
11/5/2024 2:23:46 PM
Creation date
9/15/2020 11:31:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231764
PE
2361 - UST FACILITY
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
Site Address
5611 E WATERLOO RD STOCKTON 95215
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of 6) <br /> XIII , VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ 1 B ❑ C ❑ D ❑ <br /> A ❑ B ❑ C ❑ D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑ Industry Code or Engineering Standard (Specify) : <br /> ❑ Engineered Method (Specify) : <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> Interstitial Communication Verification Method Used : <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> Single Wall Vapor Recovery Piping at this UST Facility , <br /> XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Unknown/ Fiberglass Contruction A ❑ B C ❑x D ❑ <br /> A ❑ B ❑ C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑ Industry Code or Engineering Standard (Specify): <br /> Engineered Method (Specify) : Caldwell Systems/ Level Change Indicator <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 7/5/2020 <br /> XVI . COMMENTS <br /> Provide any additional comments here. <br />' ID = Identification <br /> C <br />
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