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INSTALL_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0518288
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INSTALL_2022
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Last modified
1/18/2023 9:33:30 AM
Creation date
5/31/2022 1:10:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2022
RECORD_ID
PR0518288
PE
2351
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Page 3 of 4 <br /> no% LEAK DETECTION <br /> T E C H N O L O G I E S 1NC <br /> Providers for MDleake MSleako DPleako, MCleako and <br /> PHDleako Testing Technologies <br /> 2765 East Wieding Road ❑ Tucson, AZ 85706 ❑ Phone 855-255-5325 ❑ FAX: 1-520-509-3720 <br /> Client Reference Report Log of Repaired Leak/s CONFIDENTIAL <br /> Test Type: California ELD New Construction Test <br /> Facility Name: Costco#658 Job#: 4869 Test Leak <br /> Prepared For: Jones Covey Group Inc. PO #: Rate <br /> .................................................... <br /> Site Address: 3250 W Grant line Road Pretest Primary Cert: O.00S.gph <br /> City: Tracy Pretest Secondary Cert: <br /> State and Zip: CA 95377 Final Primary Cert: 0.005.gph <br /> Start Date: 8/24/2022 End Date: Final Secondary Cert: <br /> Log of Repaired Leaks <br /> Reference# Date Time Passing System Component Manufacture <br /> 364 8/25/22 15:50 Leak Final Siphon Product 2nd Penetration Smith <br /> 435 8/26/22 11:06 Leak Final Additive Vent 2nd Product 2nd Fitting Smith <br /> 437 8/26/22 12:15 Leak Final Siphon Product 2nd Penetration Smith <br /> Log of Unrepaired Leaks <br /> Reference# Date Time Status System Component Manufacture <br />
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