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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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GRANT LINE
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2300 - Underground Storage Tank Program
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PR0231405
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COMPLIANCE INFO_2022
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Last modified
11/17/2023 5:42:33 AM
Creation date
2/10/2022 9:23:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
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 <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Sump/UDC ID 87 STP Sump 91 STP Sump <br /> Sump Manufacturer Unknown Unknown <br /> Sump Depth (inches) 49 52 <br /> Sump Bottom to Top of 27 28 <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 10:05 AM 10:20 AM <br /> Initial Reading 0 0 <br /> Test End Time 10:35 AM 10:50 AM <br /> Final Reading 0 0 <br /> Change in Reading 0 0 <br /> Pass Fail Criteria 0 0 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID UDC 1-2 UDC 3-4 UDC 5-6 UDC 7-8 <br /> Sump Manufacturer Unknown Unknown Unknown Unknown <br /> Sump Depth (inches) 32 32 32 32 <br /> Sump Bottom to Top of 12 12 12 12 <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 9:50 AM 9:45 AM 9:30 AM 9:35 AM <br /> Initial Reading 0 0 0 0 <br /> Test End Time 10:20 AM 10:15 AM 10:00 AM 10:05 AM <br /> Final Reading 0 0 0 0 <br /> Change in Reading 0 0 0 0 <br /> Pass Fail Criteria 0 0 0 0 <br /> Tightness Test Results ® Pass ❑ Fail M Pass ❑ Fail M 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 3of5 <br />
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