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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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PR0231454
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COMPLIANCE INFO_2021
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Last modified
12/22/2021 2:00:44 PM
Creation date
1/19/2021 7:57:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231454
PE
2361
FACILITY_ID
FA0003796
FACILITY_NAME
Manteca Valero
STREET_NUMBER
1700
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22802002
CURRENT_STATUS
01
SITE_LOCATION
1700 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Spill Container `besting 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 I® -j 8 7 `� <br /> Spill Container Manufacturer: OP t,-J p+� <br /> Nonmetallic 2f Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other El Other El Other <br /> Is the spill container minimumj <br /> capacity five gallons excluding WrYes Yes ❑ Yes ❑ Yes <br /> riser volume? ❑ Noy` ❑ No* ❑ No* ❑ No's <br /> Method to keep spill container Dram Z Drain ❑,Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ O er ❑Pther ❑ Other ❑ Other <br /> Spill Container Test Results GI`Pass Pass ❑ 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 11 Other ❑ Other El Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding <br /> riser volume? 11 No* ElNo* ❑ No* ❑ No* <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No, or"Fail'and each proposed remedy. <br /> i <br /> i <br /> i <br /> * Mark here if: <br /> ❑ Spill containers do not have a minimum capacity 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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