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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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PR0231669
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COMPLIANCE INFO_2022
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Last modified
11/18/2022 11:21:29 AM
Creation date
3/25/2022 1:54:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231669
PE
2361
FACILITY_ID
FA0001480
FACILITY_NAME
JACKSONS ENERGY #6822
STREET_NUMBER
2132
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17306035
CURRENT_STATUS
01
SITE_LOCATION
2132 MARIPOSA RD
P_LOCATION
01
P_DISTRICT
001
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 D Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br /> Test Equipment Used: Incon Tester <br /> Sump/UDC ID UDC 1/2 UDC 3/4 UDC 5/6 UDC 7/8 <br /> Sump Manufacturer Environ Environ Environ Environ <br /> Sump Depth (inches) 31" 31" 31" 31" <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration 18" 18" 18" 18" <br /> (inches) <br /> Test Start Time 12:31 pm 10:37 am N/A 11:58 am <br /> Initial Reading 6.1404 5.9745 N/A 4.8569 <br /> Test End Time 12:46 pm 10:52 am N/A 12:14 pm <br /> Final Reading 6.1104 5.7305 N/A 4.8017 <br /> Change in Reading 0.0300 0.2440 N/A 0.0552 <br /> Pass/Fail Criteria 0.002 0.002 0.002 0.002 <br /> Tightness Test Results ❑ Pass 0 Fail ❑ Pass 0 Fail ❑ Pass 0 Fail ❑ Pass 0 Fail <br /> Sump/UDC ID UDC 9/10 UDC 11/12 UDC 13/14 <br /> Sump Manufacturer Environ Environ Environ <br /> Sump Depth (inches) 31" 31" 31" <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration 181, 18" 181, <br /> (inches) <br /> Test Start Time N/A 11:58 am 11:58 am <br /> Initial Reading N/A 5.3985 4.2559 <br /> Test End Time N/A 12:14 pm 12:14 pm <br /> Final Reading N/A 5.3673 4.2557 <br /> Change in Reading N/A 0.0312 0.0002 <br /> Pass/Fail Criteria 0.002 0.002 0.002 <br /> Tightness Test Results ❑ Pass 0 Fail ❑ Pass El Fail 0 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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