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COMPLIANCE INFO_PRE 2019
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2300 - Underground Storage Tank Program
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PR0231345
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/20/2019 1:40:56 PM
Creation date
10/11/2018 2:50:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0231345
PE
2381
FACILITY_ID
FA0003713
FACILITY_NAME
CHEVRON #95775 MCCOMBS* (INACT)
STREET_NUMBER
301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
02
SITE_LOCATION
301 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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NDE' S VPLT COMPUTERIZED TANK TESTING SYSTEM Pac 1. rant Pending <br />PRECISION UNDERGROUND 'TANK TE+:STTNG RESULTS AND CERT'IFIC:ATION <br />PAGE 1, GENERAL REPORT FORM -- Copyright 1985 <br />NDX 'TECHNOLOGY, INC. PROPUI ETAIII' <br />TEST DATE: 0)t/22/Iic) <br />1. Owner or w t oragu tanks <br />Company RrprosentmLi.vn <br />Ti t Io <br />2. Ma i I i ng address or owner <br />:3. Phone of c,wnor <br />4. STATION N11MR1011 <br />Location and address of <br />the tanks <br />Phone number <br />PogulaLory Agency <br />A. TANK DES IGNAT FON OR ID # <br />G. Datc each tarok was tested <br />7. The name of the test meLhod <br />ii. Rus.iness: name or tank <br />Les t i ng company <br />9. Mali l ing address of hank <br />L e, s 1 i ng company <br />10. Person conducting Last <br />and completing report. <br />It. Station Operator or <br />manager <br />12. Phone number <br />13. Owner name and <br />title: <br />14. Capacity of the truck <br />15. Present or past contents <br />16. Tank construction material <br />17. Testing fluid <br />CHEVRON USA <br />M.L. Farrar <br />Senior Mnrkot:ing Ansistaa"I <br />P. 0. Box 5001 <br />San Hamu", CA =83 3 0801 <br />(11S) R12 01324 <br />95775 <br />301 W. Ket. t 1 eman Lacne- <br />Lodi, CA. 95240 <br />(209) 368 --SG 1 4 <br />CounL,y of Sao ;1c>aaclu:iu <br />Supreme <br />Olt/2:'./119 <br />VPLT COMPUTERIZED TANK TESTING SYSTEM <br />WESTERN AMERICA TANK TESTING, INC. <br />31:31 FA IRHAVEN DRIVE <br />IIAKERSFIELn, CA 93:308 <br />Bob Myrann (T'ECHNTC rAN ) <br />Robert- McComb <br />(209) 368-8611 <br />CHEVRON USA <br />10,000 <br />Supreme <br />Fiberglass <br />Supreme <br />gallons <br />18. (n) <br />THE UNDERGROUND STORAGE 'LANK SYSTEM CERTIFIED TIGHT <br />AT PRODUCT <br />HEIGHT EQUAI, TO THE GRADE LEVEL. Yes. <br />(b) <br />Allowable lurk resolution or insLrumenLat.ion <br />or allowable <br />change <br />per California Administrative Code 'I IL]e <br />2:3 Waters, <br />Chapter 3 <br />Writer Resources Control hoard Subchapter 16 <br />Undarground <br />Storage <br />Regulations, Part 2643 (h), Page 4.11; 0.05 <br />gallons per <br />hour. <br />**� (c) <br />MEASURED HOURLY CHANGE: LOSS (1) OR <br />GAIN f j <br />GALLONS OR <br />NUMERICAL LEAK HA'Z'E TS: x0.007 Cal./Hr. <br />Thin measurement is Athin the ]egad. 1 i.uii La <br />as defined <br />in (b). <br />NDE 'TECHNOLOGY, INC. PROPRIETARY <br />WATT fNC. 3131 FA I RHAVEN DRIVE MAKFUS P rELD, CA 113:308 (HOS) 322-9S27 <br />
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