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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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MARIPOSA
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2300 - Underground Storage Tank Program
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PR0231669
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COMPLIANCE INFO_2024
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Last modified
9/25/2024 3:44:34 PM
Creation date
4/17/2024 12:47:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0231669
PE
2361
FACILITY_ID
FA0001480
FACILITY_NAME
AXIS-MSO LLC #6822
STREET_NUMBER
2132
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17306035
CURRENT_STATUS
01
SITE_LOCATION
2132 MARIPOSA RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br />Spill Container Testing Report Form <br />Additional copies of this page may be attached. <br />Page 2 of 2 <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by Manufacturer Industry Standard Professional Engineer <br />Test Type Pressure Vacuum Hydrostatic <br />Tank ID T1 87 FILL T2 89 FILL T3 91 FILL T4 DSL FILL <br />Spill Container Manufacturer: OPW OPW OPW OPW <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 />No* <br />Method to keep spill container <br />empty <br />Drain <br />Pump <br />Other <br /> Drain <br /> Pump <br /> Other <br /> Drain <br /> Pump <br /> Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results 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 />No* <br />Method to keep spill container <br />empty <br />Drain <br />Pump <br />Other <br /> Drain <br /> Pump <br /> Other <br /> Drain <br /> Pump <br /> Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br /> Pass <br /> Fail <br /> Pass <br /> Fail <br />Pass <br />Fail <br />1 <br />8. COMMENTS <br />Describe all answers marked “Other,” “No,” or “Fail” and each proposed remedy. <br />ALL SPILL CONTAINERS ARE CONTAINED IN FILL SUMPS. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />* Mark here if: <br /> Spill containers do not have a minimum capacity of five gallons and require replacement.
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