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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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YOSEMITE
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1048
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2300 - Underground Storage Tank Program
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PR0231462
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COMPLIANCE INFO_2023
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Last modified
11/22/2023 11:31:35 AM
Creation date
6/20/2023 8:50:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231462
PE
2361
FACILITY_ID
FA0000508
FACILITY_NAME
7- ELEVEN INC # 17647
STREET_NUMBER
1048
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21903003
CURRENT_STATUS
01
SITE_LOCATION
1048 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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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 ❑ Manufacturer ® Industry Standard ❑ Professfonai Engineer <br /> Test Type Ll Pressure 0 Vacuum ❑ Hydrostatic <br /> Tank ID T1 RUL T2 PUL <br /> Spill Container Manufacturer. OPW OPW <br /> Nonmetallic 0 Nonmetallic E-1Nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection P Other ❑ Other ❑ Other El Other <br /> Is tha spill container minimum Z Yes 0 Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> R1 Drain R1 Drain ❑ Drain D Drain <br /> Mothod to keep spill container ❑ Pump ❑ Pump ❑ Pump Li Pump <br /> empty ❑ 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 /> ElNonmetatlie El Nonmetallic El Nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other ❑ Other LJ Other <br /> Is the spill container minimum ❑ yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> D Pass ❑ Pass ❑ Pass L2Pass <br /> Spill Container Test Results Q Fail F7 Fall -LL-1 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 gaHons and require replacement. <br /> Additionaf copies of this page may be attached. <br /> Page 2 of 2 <br />
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