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COMPLIANCE INFO_2021
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0545645
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COMPLIANCE INFO_2021
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Last modified
11/24/2021 12:15:33 PM
Creation date
6/1/2021 12:45:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0545645
PE
2351
FACILITY_ID
FA0025876
FACILITY_NAME
7 ELEVEN INC #38877
STREET_NUMBER
1515
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15904026
CURRENT_STATUS
01
SITE_LOCATION
1515 E MAIN ST
P_LOCATION
01
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 Testing Report Farm <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by 0 Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID T1 REG. T2 PUL. T3 DSL <br /> Spill Container Manufacturer oPw OPw OPw <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic Z Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ® Yes ® Yes Z Yes ❑ Yes <br /> capacity fine gallons excluding ❑ Na" ❑ No" ❑ No" ❑ No" <br /> riser volume? <br /> ® Drain ✓❑ Drain Z Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spilt Container Test Results 123 Pass 0 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 ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No" ❑ No" ❑ No" ❑ No" <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container J pump J Pump LJ Pump LJ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> ❑ Pass El Pass El Pass 11Pass <br /> Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers market! "Other.—No,""No,"or"Fail'and each proposed remedy. <br /> Mark here if: <br /> [:1 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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