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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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2300 - Underground Storage Tank Program
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PR0231497
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/25/2022 10:43:11 AM
Creation date
11/10/2021 8:23:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231497
PE
2361
FACILITY_ID
FA0000279
FACILITY_NAME
ESCALON MINI MART
STREET_NUMBER
1097
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22510001
CURRENT_STATUS
01
SITE_LOCATION
1097 YOSEMITE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Undorground Storago Tank <br /> Spill Container Testing Report Form <br /> 6 . SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer pf Industry Standard ❑ Professional Engineer <br /> Test Type ElPressure ❑ Vacuum Hydrostatic <br /> Tank ID 7 <br /> Spill Container Manufacturer: JOIJXL ` TrrE' PNsL` YSM <br /> Method of Cathodic Protection Nonmetallic GrNonmetallic ❑ 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 El Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump El Pump <br /> empty ❑ her ❑ ther ❑ Other ❑ Other <br /> Spill Container Test Results Pass 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 ❑ pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8 . COMMENTS <br /> Describe all answers marked "Other, " "No, " or "Fail' and each proposed remedy. <br /> * Mark here if: <br /> ❑ 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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