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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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PR0231413
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COMPLIANCE INFO_2022
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Last modified
1/12/2023 10:43:41 AM
Creation date
6/16/2022 9:48:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231413
PE
2361
FACILITY_ID
FA0003122
FACILITY_NAME
QUIK STOP MARKET #138
STREET_NUMBER
1153
STREET_NAME
LINCOLN
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
231-190-12
CURRENT_STATUS
01
SITE_LOCATION
1153 LINCOLN BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank RECEIVED BY EHD: <br /> Spill Container Testing Report Form 92/2022 via CERS submittal <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by © Manufacturer F Industry Standard F Professional Engineer <br /> Test Type F Pressure F Vacuum F Hydrostatic <br /> Tank ID 87 87-2 91 <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection F Nonmetallic F Nonmetallic F Nonmetallic F Nonmetallic <br /> F Other F Other F Other F Other <br /> Is the spill container minimum ® Yes ® Yes F Yes F Yes <br /> capacity five gallons excluding El No* F No* F No* F No* <br /> riser volume? <br /> Method to keep spill container F Drain F Drain ® Drain ® Drain <br /> empty ® Pump 0 Pump © Pump IC Pump <br /> D Other 8 Other © Other 0 Other <br /> Spill Container Test Results C Pass 0 Pass F Pass Pass <br /> Fail I ® Fail I F Fail 1 0 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection F Nonmetallic F Nonmetallic ® Nonmetallic ] Nonmetallic <br /> 0 Other F Other F Other F Other <br /> Is the spill container minimum F Yes F Yes F Yes 0 Yes <br /> capacity five gallons excluding © No* IF No* © No* 0 No* <br /> riser volume? <br /> Method to keep spill container ® Drain ® Drain ® Drain F Drain <br /> empty © Pump F Pump F Pump F Pump <br /> ® Other ® Other ® Other ® Other <br /> Spill Container Test Results F Pass ® Pass © Pass ® Pass <br /> Fail © Fail 0 Fail I © Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> * Mark here if: <br /> F Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />
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