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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 />STP/Piping Sump Containment <br />Tank # Assigned T-1 87 T-2 91 T-3 Diesel T-4 Waste Oil <br />Test Method Used Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic <br />Test Equipment Mfr./Model Incon TS-STS Sump Tester w/ + or – 0.002” <br />Test Start Time 9:26am 8:43am 9:26am 10:29am <br />Initial Reading 5.8144” 3.9601” 5.1580” 3.6272” <br />Test End Time 9:41am 8:58am 89:41am 10:44am <br />Final Reading 5.8143” 3.9600” 5.1580” 3.6261” <br />Change in Readings -0.0001” -0.0001” 0.0000” -0.0011” <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 Pass Pass Pass Pass <br />Under-Dispenser Containment <br />UDC # #1-2 #3-4 #5-6 #7-8 <br />Test Method Used Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic <br />Test Equipment Mfr./Model Incon TS-STS Sump Tester w/ + or – 0.002” <br />Test Start Time 7:36am 7:36am 8:13am 8:13am <br />Initial Reading 3.9986” 3.1154” 1.2494” 2.5683” <br />Test End Time 7:51am 7:51am 8:28am 8:28am <br />Final Reading 3.9986” 3.1146” 1.2491” 2.5679” <br />Change in Readings 0.0000” -0.0008” -0.0003” -0.0004” <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 Pass Pass Pass Pass <br />Fill Riser Containment <br />Tank # Assigned <br />Test Method Used Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic <br />Test Equipment Mfr./Model Incon TS-STS Sump Tester w/ + or – 0.002” <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 <br />Was an UMPA inspector present during testing? Not Present <br /> <br />Inspector Name: <br /> <br /> <br />Date: <br /> <br /> I certify under penalty of law that the information provided here and in supporting documents is true, accurate and complete. <br /> <br />Tester Name: <br /> Richard Thomas <br /> <br />Tester Signature: <br /> <br /> <br /> <br />Date: <br /> 10/17/19 <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 />
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