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COMPLIANCE INFO_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231604
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COMPLIANCE INFO_2022
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Last modified
11/10/2022 2:59:31 PM
Creation date
6/29/2022 2:37:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231604
PE
2361
FACILITY_ID
FA0000650
FACILITY_NAME
GAS & SHOP
STREET_NUMBER
1002
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102012
CURRENT_STATUS
01
SITE_LOCATION
1002 FRONTAGE RD
P_LOCATION
05
P_DISTRICT
004
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 F_ Industry Standard 77 Professional Engineer <br /> i <br /> Test Type L Pressure [ Vacuum Hydrostatic <br /> Test Equipment Used: Caldwell system <br /> Sump/UDC ID 11-12 9-10 <br /> Sump Manufacturer S Bravo S Bravo <br /> Sump Depth (inches) 28" 28" <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) 8° 8" <br /> Test Start Time 2:15 pm 2:15 pm <br /> Initial Reading 12" , 12° <br /> Test End Time 2:45 pm 2:45 pm <br /> i Final Reading 12" 12" <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria 2 2 <br /> Tightness Test Results FSF Pass Fail i z Pass [ Fail 7 Pass l i Fail EF] Pass Fail <br /> Sump/UDC ID <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of I <br /> Highest Pipe Penetration <br /> (inches) <br /> i Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> [Tightness Test Results Pass Fail 77 Pass 1,7? Fail h Pass C Fail Pass 77 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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