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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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LINCOLN
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2300 - Underground Storage Tank Program
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PR0231413
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
11/16/2023 1:56:58 PM
Creation date
7/19/2023 8:52:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231413
PE
2361
FACILITY_ID
FA0003122
FACILITY_NAME
QUIK STOP MARKET #138
STREET_NUMBER
1153
STREET_NAME
LINCOLN
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
231-190-12
CURRENT_STATUS
01
SITE_LOCATION
1153 LINCOLN BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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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 © Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br />Tank ID <br />87 <br />91 <br />Diesel <br />Spill Container Manufacturer: <br />OPW <br />OPW <br />OPW <br />Method of Cathodic Protection <br />® <br />Nonmetallic <br />© <br />Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Nonmetallic <br />0 <br />Other <br />0 <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />® <br />Yes <br />D <br />Yes <br />© <br />Yes <br />❑ <br />Yes <br />capacity five gallons excluding <br />0 <br />No* <br />0 <br />No* <br />❑ <br />No* <br />❑ <br />No* <br />riser volume? <br />Method to keep spill container <br />❑ <br />Drain <br />© <br />Drain <br />® <br />Drain <br />❑ <br />Drain <br />empty <br />❑ <br />Pump <br />0 <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />0 <br />Other <br />0 <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />Spill Container Test Results <br />C <br />Pass <br />D <br />Pass <br />® <br />Pass <br />❑ <br />Pass <br />Fail <br />❑ <br />Fail <br />❑ <br />Fail <br />117 <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection <br />© <br />Nonmetallic <br />0 <br />Nonmetallic <br />0 <br />Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Other <br />❑ <br />Other <br />0 <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />❑ <br />Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />capacity five gallons excluding <br />❑ <br />No* <br />ID <br />No* <br />© <br />No* <br />❑ <br />No* <br />riser volume? <br />Method to keep spill container <br />® <br />Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />empty <br />❑ <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />0 <br />Other <br />® <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />Spill Container Test Results <br />❑ <br />Pass <br />❑ <br />Pass <br />© <br />Pass <br />❑ <br />Pass <br />❑ <br />Fail <br />© <br />Fail <br />0 <br />Fail <br />© <br />Fail <br />8. COMMENTS <br />Describe all answers marked "Other, "'Wo, " or "Fail" and each proposed remedy. <br />Replaced Cap in 91 spill container. It was Retested and passing results were yielded. <br />* Mark here if: <br />Spill containers do not have a minimum ca <br />Additional copies of this page may be attached. <br />of five gallons and <br />uire replacement. <br />Page 2 of 2 <br />
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