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COMPLIANCE INFO_2022
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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PR0231470
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COMPLIANCE INFO_2022
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Last modified
12/28/2022 4:51:59 PM
Creation date
1/6/2022 3:55:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231470
PE
2361
FACILITY_ID
FA0003911
FACILITY_NAME
VAN DE POL ENTERPRISES INC
STREET_NUMBER
816
Direction
E
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102010
CURRENT_STATUS
01
SITE_LOCATION
816 E FRONTAGE RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Test Equipment Used: Caldwell Level Change Indicator <br /> Sump/UDC ID 1-87-PS 2-91-PS 3-Dsl-PS <br /> Sump Manufacturer Western FG Western FG Western FG <br /> Sump Depth (inches) 40 1/2" 39" 38 1/2" <br /> Sump Bottom to Top of 14" 15" 17" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 12:42 1:17 1:22 <br /> Initial Reading .001 .001 .001 <br /> Test End Time 1:12 1:47 1:52 <br /> Final Reading .001 .001 .001 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 <br /> Tightness Test Results M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID UDC 1&2 UDC 3&4 UDC 5&6 <br /> Sump Manufacturer Western FG Western FG Western FG <br /> Sump Depth (inches) 30" 30" 30" <br /> Sump Bottom to Top of 12" 11" 13" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 12:27 12:32 12:37 <br /> Initial Reading .001 .001 .001 <br /> Test End Time 12:57 1:02 1:07 <br /> Final Reading .001 .001 .001 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <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 3 of 5 <br />
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