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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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H
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HAMMER
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3555
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2300 - Underground Storage Tank Program
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PR0231130
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COMPLIANCE INFO_2021
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Last modified
12/1/2021 4:41:38 PM
Creation date
4/5/2021 1:45:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231130
PE
2361
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #132
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95219
APN
071-180-20
CURRENT_STATUS
01
SITE_LOCATION
3555 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by 0 Manufacturer 0ā Industry Standard © Professional Engineer <br /> Test Type 0 Pressure Vacuum āIā Hydrostatic <br /> Test Equipment Used: <br /> Tank ID 87 89 191 <br /> Tank Manufacturer Xerxes Xerxes Xerxes <br /> Tank Capacity 10K 10K 8K <br /> Test Start Time 09:32 09:35 09:39 <br /> Initial Reading -7 Hg -7 Hg -7 Hg <br /> Test End Time 10:32 10:35 10:39 <br /> Final Reading -7 Hg -7 Hg -7 Hg <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +/-0 +/-0 +/-0 <br /> Tightness Test Results [71 Pass 0 Fail ® Pass © Fail ® Pass © Fail © Pass 0 Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by Manufacturer 0 Industry Standard © Professional Engineer <br /> Test Type © Pressure 0 Vacuum © Hydrostatic <br /> Test Equipment Used: <br /> Pipe Run ID 87 91 Diesel <br /> Pipe Manufacturer Ameron Ameron Ameron <br /> Test Start Time 09:35 09:39 09:41 <br /> Initial Reading 5 Psig 5 Psig 5 Psig <br /> Test End Time 10:35 10:39 10:41 <br /> Final Reading 5 Psig 5 Psig 5 Psig <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +/-0 +/-0 +/-0 <br /> Tightness Test Results Pass El Fail 71 Pass ® Fail I ©ā Pass ID Fail 0 Pass 0 Fail <br /> Pipe Run ID <br /> Pipe Manufacturer <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results 0 Pass 0 Fail C Pass © Fail I 0 Pass [C] Fail C Pass 0 Fail <br /> Additional copies of this page may be attached. <br /> All tests marked "Fail"and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 2 of 5 <br />
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