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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1403
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/5/2024 2:28:48 PM
Creation date
9/15/2020 3:58:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231995
PE
2361 - UST FACILITY
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
Site Address
1403 W COUNTRY CLUB BLVD STOCKTON 95204
Tags
EHD - Public
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CERS = California Environmental Reporting System, ID = Identification, UST = Underground storage tank, ICC = International Code Council, <br />NA = Not applicable, UDC = Under-dispenser containment <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Secondary Containment and Spill Prevention Equipment Tightness Testing <br /> <br />Facility CERS ID: 10182103 Testing Date: 10/17/19 <br />Facility Information Testing Company’s Information <br />Facility Name: United Pacific #5446 Company Name: CGRS, Inc. <br />Address: 1403 Country Club Blvd. Address: 5444 Dry Creek Rd. <br />City/State/ZIP: Stockton, Ca. 95204 City/State/ZIP: Sacramento, Ca. 95838 <br />Phone #: (209) 943-2082 <br /> <br />Phone #: (916) 991-1100 <br />Secondary Containment Equipment Tested at Site (check all that apply) <br /> ☐ DW Tanks X DW Piping ☐Spill Buckets/Spill Containers <br /> X STP/Piping Sump Containment X Under-Dispenser Containment ☐Fill Riser Containment <br />DW Tanks (Annular Testing) <br />Tank # Assigned <br />Test Method Used Vacuum Vacuum Vacuum Vacuum Vacuum Vacuum <br />Test Equipment Mfr./Model Single 4” 0-30 inHg. gauges w/ 0.05 graduations <br />Test Start Time <br />Initial Reading <br />Test End Time <br />Final Reading <br />Change in Readings <br />Pass/Fail Threshold/Criteria No Loss No Loss No Loss No Loss No Loss No Loss <br />Result <br />DW Piping (Secondary Testing) <br />Tank # Assigned T-1 87 T-2 91 T-3 Diesel T-4 Waste Oil <br />Test Method Used Pressure Pressure Pressure Pressure Pressure Pressure <br />Test Equipment Mfr./Model Dual 4” 0-15 PSI gauges w/ 0.05 graduations <br />Test Start Time 8:35am 8:35am 8:35am 10:35am <br />Initial Reading 5.0psi 5.0psi 5.0psi 5.0psi <br />Test End Time 9:35am 9:35am 9:35am 11:35pm <br />Final Reading 5.0psi 5.0psi 5.0psi 5.0psi <br />Change in Readings 0.0psi 0.0psi 0.0psi 0.0psi <br />Pass/Fail Threshold/Criteria No Loss No Loss No Loss No Loss No Loss No Loss <br />Result Pass Pass Pass Pass <br />Spill Buckets/Spill Containers <br /> Tank # Assigned <br />Test Method Used Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic <br />Test Equipment Mfr./Model Tape Measure @ 1 hour with + or – 1/6” <br />Test Start Time <br />Initial Reading <br />Test End Time <br />Final Reading <br />Change in Readings <br />Pass/Fail Threshold/Criteria + or – 0.002” + or – 0.002” + or – 0.002” + or – 0.002” + or – 0.002” + or – 0.002” <br />Result
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