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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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PR0231604
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
7/5/2023 8:52:12 AM
Creation date
2/27/2023 11:06:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
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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.............. <br /> Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by 171 Manufacturer j'1F Industry Standard E <br /> 7 Professional Engineer <br /> Test Type <br /> 17' Pressure Vacuum <br /> Yt Hydrostatic <br /> Tank ID <br /> 1 regular T# 2 Super <br /> Spill Container Manufacturer <br /> OPW <br /> _0P\/)L <br /> Method of Cathodic Protection [gNonmetallic Yj Nonmetallic <br /> Lj-jNon me-a Ilic '.rTNonm_etaIli- <br /> Other <br /> "1T Other 1171* Other Other <br /> the spill container minimum <br /> capacity five gallons excluding Wt Yes Yes � Yes Z7 Yes <br /> LT No' L7 Nom !LI N o No* <br /> riser volume? <br /> Drain [kT Drain !_17 Drain [7 Drain <br /> 11 Method to keep spill container <br /> ,j empty Pump Pump _F Pump Pump <br /> I Other C Other 13' Other ff Other <br /> V <br /> L7'71 <br /> i Spill Container Test Results Pass I�X7 Pass ' Pass Pass <br /> T Fail C11 Fail 7 Fail E7 Fail <br /> Tank ID <br /> Spill Container Manufacturer <br /> ............. <br /> 1 <br /> Method of Cathodic Protection 'Nonmetalliclic <br /> -, Nonmetallic E71Nonmetallic ETNoWm7efillic i <br /> COther Iff Other TL7 Other Other <br /> Is the spill container minimum <br /> [FT (f— E7 U <br /> capacity five aallons excluding Yes Yes Yes Yes <br /> riser volume?, No <br /> No Iff, No- E7 No'* <br /> Method to keep spill container 17 Drain E Drain ,17 Drain Ell Drain <br /> T Pump <br /> ITT 17�7 Pump 7, Pump L <br /> empty : Pump <br /> ClOther <br /> Z Other LT Other ff, Other <br /> 3 <br /> Pass Pass Pass F,. Pass <br /> Spill Container Test Results <br /> ........ E-1, Fail i77 Fail Fail Fail <br /> L <br /> B. COMMENTS <br /> Describe all answers marked "No. or "Fail"and each proposed remedy. <br /> * Mark here if: <br /> LF- <br /> Spill containers do not have a minimum capacity of five gallons c at pirn-id require reaceent. <br /> ...- <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />
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