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COMPLIANCE INFO_2024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHRISMAN
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34243
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2300 - Underground Storage Tank Program
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PR0231801
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
9/25/2024 4:56:08 PM
Creation date
2/26/2024 9:49:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0231801
PE
2361
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25318004
CURRENT_STATUS
01
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
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 /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST (continued) <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑x Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑x Hydrostatic <br /> Test Equipment Used: Caldwell Level Change Indicator <br /> Sump/UDC ID UDC 9&10 UDC 11&12 UDC 11-S UDC 12-S&13 <br /> Sump Manufacturer Western FG Bravo Bravo Bravo <br /> Sump Depth (inches) 31" VPH EXEMPT VPH EXEMPT VPH EXEMPT <br /> Sump Bottom to Top of 21" VPH EXEMPT VPH EXEMPT VPH EXEMPT <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 8:52 VPH EXEMPT VPH EXEMPT VPH EXEMPT <br /> Initial Reading .001 VPH EXEMPT VPH EXEMPT VPH EXEMPT <br /> Test End Time 9:22 VPH EXEMPT VPH EXEMPT VPH EXEMPT <br /> Final Reading .001 VPH EXEMPT VPH EXEMPT VPH EXEMPT <br /> Change in Reading 0 NA NA NA <br /> Pasnesss/Fail Criteria > .002 NA NA NA <br /> TightTest Results © Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID UDC 13-S&14 <br /> Sump Manufacturer Bravo <br /> Sump Depth (inches) VPH EXEMPT <br /> Sump Bottom to Top of VPH EXEMPT <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time VPH EXEMPT <br /> Initial Reading VPH EXEMPT <br /> Test End Time VPH EXEMPT <br /> Final Reading VPH EXEMPT <br /> Change in Reading NA <br /> Pass/Fail Criteria NA <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> All tests marked "Fail'and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 4of5 <br />
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