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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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PATTERSON PASS
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25775
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2300 - Underground Storage Tank Program
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PR0231708
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COMPLIANCE INFO_2022
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Last modified
10/6/2022 10:40:31 AM
Creation date
1/11/2022 1:28:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231708
PE
2361
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST (continued) <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 91 Fill Sump 87SFIII Sump 87MFill Sump Diesel Fill <br /> Sump Manufacturer XERXES XERXES XERXES XERXES <br /> Sump Depth (inches) 49 112" 52" 52 112" 54" <br /> Sump Bottom to Top of 36" 36" 36" 35 112" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 2:30 p.m. 3:15 p.m. 4:00 p.m. 4:45 p.m. <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 3:00 p.m. 3:45 p.m. 4:30 p.m. 5:15 P.M. <br /> Final Reading .001 .001 .001 .001 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria .005130 min. .005130 min. .005130 min. .005130 min. <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail N Pass ❑ Fail <br /> Sump1UDC ID <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Lss/FailCriteria <br /> htness 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 4 of 5 <br />
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