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COMPLIANCE INFO_2023
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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PR0231873
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COMPLIANCE INFO_2023
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Last modified
4/5/2023 1:39:39 PM
Creation date
2/8/2023 1:40:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231873
PE
2361
FACILITY_ID
FA0003956
FACILITY_NAME
AT&T CALIFORNIA - UE058
STREET_NUMBER
10
Direction
E
STREET_NAME
12TH
STREET_TYPE
St
City
TRACY
Zip
95376
APN
23336922
CURRENT_STATUS
01
SITE_LOCATION
10 E 12TH St
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by 0 Manufacturer ID Industry Standard El Professional Engineer <br />Test Type 0 Pressure 0 Vacuum 0 Hydrostatic <br />Tank ID UE058U002 <br />Spill Container Manufacturer: Phil-Tite <br />Method of Cathodic Protection GI Nonmetallic <br />Other <br />• Nonmetallic <br />Other <br />• Nonmetallic <br />Other <br />• Nonmetallic <br />Other • • • • <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />Yes <br />NO <br />Yes <br />NO <br />Yes <br />Nov' <br />Yes <br />No <br />• • • • <br />• • • • <br />Method to keep spill container <br />empty Other <br />• Drain <br />Pump <br />• Drain <br />Pump <br />Other <br />• Drain <br />Pump <br />Other <br />• Drain <br />Pump <br />Other <br />• • • • <br />• • • • <br />Spill Container Test Results • <br />• Pass <br />Fail <br />• Pass <br />Fail <br />• Pass <br />Fail <br />• Pass <br />Fail • • • <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection • Nonmetallic <br />Other <br />• Nonmetallic <br />Other <br />• Nonmetallic <br />Other <br />• Nonmetallic <br />Other • • • • <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />Yes <br />NO <br />Yes <br />NO <br />Yes <br />No* <br />Yes <br />Nov' <br />• • • • <br />• • • • <br />Method to keep spill container <br />empty Other <br />• Drain <br />Pump <br />• Drain <br />Pump <br />Other <br />• Drain <br />Pump <br />Other <br />• Drain <br />Pump <br />Other <br />• • • • <br />• • • • <br />Spill Container Test Results • Pass <br />Fail <br />• Pass <br />Fail <br />• Pass <br />Fail <br />• Pass <br />Fail • • • • <br />8. COMMENTS <br />Describe all answers marked "Other," "No," or "Fail" and each proposed remedy. <br />* Mark here if: <br />EI 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
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