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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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W
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WEST
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4040
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2300 - Underground Storage Tank Program
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PR0231963
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/5/2022 9:38:07 AM
Creation date
7/5/2022 10:49:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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� TA <br /> Test Date: 09/21 /2022 <br /> LEAK DETECTOR TESTING <br /> Facility ID: PGE095 Client Name: Pacific Gas and Electric Coma <br /> Street Address: 4040 West Ln. Technician: Jaime Jauregui <br /> City: Stockton ICC #: 6340695 <br /> Zip Code / State: 95204 / CA - Manufacturer Cert #: 4262 VMI <br /> Test Information <br /> Product Unleaded Diesel <br /> Manufacturer Veeder-Root Veeder-Root - <br /> Model 8484 8484 <br /> New Leak Detector No No <br /> Yes/No <br /> Serial Number 119293 119295 <br /> Electronic LD Yes Yes <br /> es/No <br /> Calibrated Test Leak <br /> Rate: (189 mil/min Yes Yes <br /> 10 PSI) (Yes/No <br /> Check Valve Holding 28psi 29psi <br /> PSI <br /> Resiliency N/A N/A <br /> Bleed Back MIL) <br /> Slow Flow NIA N/A <br /> MeteringPSI / N/A <br /> Turbine Shut Down <br /> Electronic LD Yes Yes <br /> Yes/No/NA <br /> Slow Flow At Nozzle NIA N/A <br /> Yes/No/NA <br /> Opening Time N/A N/A <br /> (Seconds) <br /> Pass/Fail Pass Pass <br /> ❑ Check If Action Item(s) Are Present <br /> This letter certifies that the annual leak detector tests were performed at the above referenced facility <br /> according to the equipment manufacturers procedures and limitations and the results as listed are to my <br /> knowledge true and correct. The leak detector test pass/fail is determined using a low flow threshold trip <br /> rate of 3 gph at 10 PSI. <br /> Technician Signature: Date: 09/21/2022 <br /> CA 11cx 588098 1 AZ 110 095984 1 NV Ike 0049666 1 TX 11cs CR0000041 <br />
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