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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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Y
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YOSEMITE
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1777
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/14/2021 11:27:26 AM
Creation date
5/10/2021 9:21:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
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 Z Manufacturer Z Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ✓❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Vacuum Pump & Gauges <br /> Tank ID UST Diesel -T 2 <br /> Tank Manufacturer Owens Corning <br /> Tank Capacity 8000 <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria No Loss in Vacuum <br /> Tightness Test Results Exempt <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑✓ Manufacturer ✓❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑✓ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Pressurized Nitrogen & Gauges <br /> Pipe Run ID Diesel - Supply Diesel - Return Diesel -Vent <br /> Pipe Manufacturer Ameron Ameron Ameron <br /> Test Start Time 07:30am 07:30am 07:30am <br /> Initial Reading 5 5 5 <br /> Test End Time 08:30am 08:30am 08:30am <br /> Final Reading 5 5 5 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria No Pressure Change No Pressure Change No Pressure Change <br /> Tightness Test Results Pass Pass Pass <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 <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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