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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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W
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2300 - Underground Storage Tank Program
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PR0231289
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/23/2021 9:22:51 AM
Creation date
5/19/2021 8:03:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231289
PE
2361
FACILITY_ID
FA0003847
FACILITY_NAME
WEST LANE FUEL
STREET_NUMBER
3300
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11705037
CURRENT_STATUS
01
SITE_LOCATION
3300 N WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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San Joaquin Valley <br />AIR POLLUTION CONTROL DISTRICT <br />TP -201.6C or EVR Liquid Removal Test <br />Liquid Removal Rate Report Form <br />E <br />HEALTHY AIR LIVING' <br />www.healthyairiiviPig.com <br />Make one change for clean air! <br />Permit Number: N-945 <br />Test Company: AFFORDA--TEST <br />Site Name: WEST LANE FUELS <br />Technician: ED STEARNS <br />Site Address: 3300 WEST LANE <br />Certification Number: 0278 Expiration Date: 3/31/2022 <br />City: STOCKTON, CA Zip: 95204 <br />District: <br />Date/Time of Test: 7/15/20 <br />VST (if applicable): 3000967424 2020 <br />Grade <br />Volume of <br />Gas added to hose Gallons <br />Gas drained (150 — 175 ml) dispensed <br />from hose ml <br />TEST INFORMATION <br />Phase II vapor recovery system executive order: ❑ G-70-52 (Pre -Phase II EVR balance for AST & UST) X❑ VR -203/204 (VST Phase II EVR balance) <br />Nozzle <br />Fuel <br />EVR Short VI G <br />Version ** <br />T <br />Dispensing <br />Rate <br />VF <br />Wi <br />VI — VW —VF <br />Wr VW <br />G <br />Number <br />Grade <br />Volume of <br />Gas added to hose Gallons <br />Gas drained (150 — 175 ml) dispensed <br />from hose ml <br />Time to <br />dispense <br />sec. <br />G x 60 <br />T <br />Gas drained <br />after <br />dispensing <br />Gas introduced <br />after dispensing <br />(150-175 ml <br />Gas Liquid removal <br />recovered Wi Wr rate (ml/gal) <br />Pass / Fail <br />1 <br />87 <br />0 <br />PASS <br />2 <br />87 <br />0 <br />PASS <br />3 <br />87 <br />0 <br />PASS <br />4 <br />87 <br />0 <br />PASS <br />5 <br />87 <br />0 <br />PASS <br />6 <br />87 <br />0 <br />PASS <br />7 <br />87 <br />0 <br />PASS <br />8 <br />1 87 <br />1 0 <br />PASS <br />I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed after reasonable inquiry, the statements and <br />information provided in this document are true, accurate, and complete. <br />I� <br />Signature of Technician: Date: 7/15/20 <br />** NOTE: For EVR systems — Prior to the Leak Decay Test, if the liquid drained from the hose is <25 ml, record the amount in the EVR short version column, mark the <br />test as pass, and no further testing is required. <br />Ver. 1.5 — 08.20.14 <br />
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