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COMPLIANCE INFO_2021
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0540987
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
5/9/2022 10:42:32 AM
Creation date
8/19/2021 8:37:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0540987
PE
2351
FACILITY_ID
FA0023459
FACILITY_NAME
Pilot Travel Center Lathrop - 1017
STREET_NUMBER
345
STREET_NAME
ROTH
STREET_TYPE
Rd
City
FRENCH CAMP
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
345 Roth Rd
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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SWRCB,January 2002 Page 1 of 1 <br /> SUMP ANNULAR TESTING <br /> Test Method Developed By: ®Sump Manufacturer Industry Standard L Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: X Pressure X Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Analog Gauge Equipment Resolution: +-0.25 <br /> Sump#91 STP Sump# 91 STP Sump# Sump# <br /> Is Sump Liquid Filled? xl Yes U'No L Yes LI No Yes No a Yes No <br /> Type of Liquid Used: Propylene Glycol Propylene Glycol <br /> Sump Material: Fiberglass Fiberglass <br /> Sump Manufacturer: Bravo Bravo <br /> Penetration Type: Rigid Rigid <br /> Wait time between applying <br /> pressure/vacuum/water and 15 minutes 15 minutes <br /> starting test: <br /> Test Start Time: 4:OOpm 5:30pm <br /> Initial Reading(RI): 3 psi 10"hg <br /> Test End Time: 5:OOpm 6:30pm <br /> Final Reading(RF): 3 psi 10"hg <br /> Test Duration: 1 hour 1 hour <br /> Change in Reading(RF-RI): Opsi Opsi <br /> Pass/Fail Threshold or Criteria: Opsi Opsi <br /> Test Result: ® Pass ❑Fail ® Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑yes ❑No [INA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Sump interstice of 91 STP tested under pressure and vacuum <br /> Roberto Plaza <br /> ICC 8036194 exp 9/28/21 <br /> Bravo exp 1/2/9079 <br /> ' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containment,such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment <br /> testing. {California Code of Regulations,Title 23,Section 2637(a)(6)} <br />
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