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COMPLIANCE INFO_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231349
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COMPLIANCE INFO_2022
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Last modified
1/12/2023 9:49:22 AM
Creation date
10/14/2022 8:38:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231349
PE
2351
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
01
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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®GEMER-RYAN INC. Exhibit 8 GR Job# 22245358 <br /> Required Items in Conducting P-201.3 <br /> (Executive Orders VR-201-M and VR-202-M) <br /> The instructions below are required when conducting TP-201.3 for these systems. The <br /> tester shall document that each step was followed as indicated below and shall include <br /> this page of the Exhibit with the submission of TP-201.3 test results. Note that districts <br /> may require use of an alternate form to meet these requirements, provided the alternate <br /> form includes the same minimum parameters. <br /> 1. Prior to conducting TP-201.3, all four ball valves on the Healy Clean Air <br /> Separator (CAS) shall be closed, as shown in Figure 1 or Figure 1H, to isolate it <br /> from the Underground Storage Tank (UST) system to permit the pressurization <br /> of the UST system. Figure 1 applies to vertical CAS installations and Figure 1H <br /> applies to horizontal CAS installations. <br /> 2. Conducting TP-201.3 with any dispenser piping test valve in the closed position <br /> is not permitted. Any dispenser with a dispenser piping test valve in the closed <br /> position while conducting TP-201.3 will bias the test towards compliance. <br /> 3. After conducting TP-201.3, the four ball valves on the Healy Clean Air Separator <br /> (CAS) shall be locked in their normal operating positions as shown in <br /> Figure 2B-2 or 2B-2H, Exhibit 2 of Executive Orders VR-201-M and VR-202-M. <br /> Figure 2B-2 applies to vertical CAS installations and Figure 26-21-1 applies to <br /> horizontal CAS installations. <br /> Required Steps Verification <br /> (please check Yes or No) <br /> 1. All four CAS ball valves closed before conducting TP-201.3 <br /> ✓ Yes F1No <br /> 2. All dispenser piping test valves open before conducting <br /> TP-201.3 21Yes E]No <br /> 3. All four CAS ball valves in normal operating position after <br /> conducting TP-201.3. ✓ Yes ONo <br /> Testing Company: Gettler-Ryan Inc. Facility Name: Arco 7049 <br /> Darnell Smith 11/22/2022 <br /> Print Name(Technician) Signature Date <br /> 8709494, Exp. 2/8/2024 <br /> Technician Certification Number and Expiration Date <br /> (ICC or District Training Certification,as Applicable) <br /> Items Required in Conducting TP-201.3, Exhibit 8-Executive Orders VR-201-M and VR-202-M <br />
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