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COMPLIANCE INFO_2021
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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PR0231300
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COMPLIANCE INFO_2021
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Last modified
8/26/2022 4:38:42 PM
Creation date
1/15/2021 11:22:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231300
PE
2361
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
01
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6 . SPILL CONTAINER DETAILS <br /> Test Method Developed by ® Manufacturer © Industry Standard © Professional Engineer <br /> Test Type © Pressure ® Vacuum © Hydrostatic <br /> Tank ID 91 <br /> Spill Container Manufacturer : OPW <br /> Method of Cathodic Protection ® Nonmetallic In Nonmetallic © Nonmetallic ® Nonmetallic <br /> © Other ® Other ® Other M Other <br /> Is the spill container minimum ® Yes In Yes El Yes ® Yes <br /> capacity five gallons excluding ® No* IM No * ® No * ® No* <br /> riser volume ? <br /> Method to keep spill container ® Drain Q Drain El Drain ® Drain <br /> empty ® Pump ® Pump [I Pump ® Pump <br /> ® Other ® Other ® Other ® Other <br /> Spill Container Test Results [f�) Pass ® Pass r°► Pass ® Pass <br /> � Fail ® Fail ® Fail ® Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ® Nonmetallic ® Nonmetallic <br /> ® Other ® Other Ej Other ® Other <br /> Is the spill container minimum ® Yes ® Yes © Yes ® Yes <br /> capacity five gallons excluding <br /> riser volume ? ® No * ® No * ® No * ® No * <br /> Method to keep spill container ® Drain ® Drain n Drain 8 Drain <br /> empty In Pump ® Pump r] Pump <br /> ® Pump <br /> ® Other ® Other ® Other Q Other <br /> Spill Container Test Results ® Pass El Pass Q Pass ® Pass <br /> 0 Fail ® Fail Ej Fail ® Fail <br /> B . COMMENTS <br /> Describe all answers marked "Other, " "No, " or "Fail" and each proposed remedy. <br /> * Mark here if: <br /> Spill containers do not have a minimum ca a ity of five gallons and require replacement . <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />
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