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COMPLIANCE INFO_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0547762
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/6/2023 2:55:46 PM
Creation date
9/1/2022 9:00:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547762
PE
2351
FACILITY_ID
FA0027204
FACILITY_NAME
SAFEWAY FUEL CENTER #0055
STREET_NUMBER
19533
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
19533 S MOUNTAIN HOUSE PKWY
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Received by EHD via email from <br /> Glenn Paredes: Underground Storage Tank <br /> 10/18/2022 <br /> Spill Container Testing Report Form <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID Tank 1 87 Tank 2 91 Tank 89 DSL <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ® Yes ® Yes ® Yes ❑ Yes <br /> capacity five gallons excluding riser ❑ No* ❑ No* ❑ No* ❑ No* <br /> volume? <br /> Method to keep spill container ® Drain ® Drain ® Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ® Pass ® Pass ® Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum <br /> [I Yes [I Yes El Yes El Yes <br /> capacity five gallons excluding riser ❑ No* ❑ No* ElNo* ElNo* <br /> volume? <br /> EJ Drain El Drain El Drain ElDrain <br /> Method to keep spill container ElPump El Pump El Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or"Fail"and each proposed remedy. <br /> * Mark here if: <br /> ❑ 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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