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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231321
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
4/1/2020 11:52:33 AM
Creation date
11/2/2018 5:06:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0231321
PE
2381
FACILITY_ID
FA0003914
FACILITY_NAME
JACKPOT
STREET_NUMBER
401
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04735415
CURRENT_STATUS
02
SITE_LOCATION
401 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CHEROKEE\401\PR0231321\COMPLIANCE INFO PRE 2016.PDF
QuestysFileName
COMPLIANCE INFO PRE 2016
QuestysRecordDate
10/28/2016 5:10:58 PM
QuestysRecordID
125753
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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14. �yl Co `;ral S X< eo1e'E !" e1q / 9 SIF <br /> Name of Supplier.Owner or Dinner Address No.and S O city State Date of Test <br /> y 15. TANK TO TEST 16. CAPACITY MFrom <br /> X rt (� ✓)()O By most accurate p p.�D tdl Station Chart <br /> m �S Nominal Capacity capacity chart available J 22 ❑ Tank Manufacturer's Chan <br /> ti O Identity by position Gallons Gallons r I <br /> ❑ u Company Engineering Data <br /> 'agar' Is there doubt as to True Capacity 7 El Charas supplied with ��! <br /> Istand and Grade See Section"DETERMINING TANK CAPACITY" E Other we�rsw <br /> 17. FILL-UP FOR TEST Stick naedings Total Gallons <br /> b%In. Gallons N,Reading <br /> Stick Water Bottom 3� <br /> before Fill-up _ Z Inventory 9 <br /> to%in. Gallons <br /> Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY / a/—L <br /> Tis A,^ �:zjet <br /> ve <br /> Tank Diameter Z L <br /> n l p O (>c-/� product in full tank(up to fill pipe) <br /> ,C) . 7 <br /> P=p 0 18X Co . SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK �f prs</?_ 4 s S ° =55.3 VAPOR RECOVERY SYSTEM <br /> 00> See manual sections applicable.Check below and record procedure in log(26). <br /> �?of O <br /> ® Stage 1 <br /> D D 0 < Wafer In tank EJHigh water table in tank excavation [] Line(s)being tested with LVLLT ® Stege II <br /> O m <br /> 0 <br /> 0 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK <br /> 19. TANK MEASU CEMENTS FOR <br /> TSTT ASSEMBLY Is Today Warmer?I J Colder?I I—°F Product In Tank_°F Fill-up Product on Truck_-F Expected Change( + or - ) <br /> mm Bottom of tank to Grade`.. �� <br /> ......... /�3 22. Thermal-Sensor reading after circulation ��805 'JL5°F <br /> Add 30"for 4"L ................. ..3J <br /> meds Normal <br /> Add 24"for 3"L or air sed ....... 23. Digits pan°F in range of expected change 3/ <br /> Total tubing to assemble Approximate ........ /.5,3 'r digits <br /> 20. EXTENSION HOSE SETTING 24. 3597 xien 0(.2 a-3 = o?.319/993 gallons <br /> Tank top grade*_.. <,� total quantity in coefficient of expansion for volume change in this tank <br /> Extend hose on suasion tube 8. be 6..."or more.................... J full tank(16 or 17) involved product per'F <br /> below tank top ...... 25. 2-2 1q1 293 4/e? # Or-)9A <br /> volume change - This is <br /> 'It Fill pipe extends above grade,use top of fill. Me Per°F(24) Digits per°F in test Volume change per digit. teat <br /> Range(23) Compute to 4 decimal places. lector(a) <br /> 26. 30. HYDROSTATIC 31. VOLUME MEASUREMENTS M 34' TEMPERATURE COMPENSATION 36-NET VOLUME 39. <br /> LOG OF TEST PROCEDURES PRESSURE ACCUMULATED <br /> CONTROL RECORD 10.NI GL, USF FACTON lel CHANGES CHANGE <br /> 27. 26. EACH READING <br /> 29. Stendpips Lod 32. 35. 36. 37. Temperature OME Record details of setting u in Inches Product a Product p dl Nil E deed nand <br /> N l Russian Graduate Replaced(-I Clim, Computation olumem Minus lea FN DelNdan <br /> and Cunning test(Use full No. Thnmd NipAm+ (q . lel= volume Minus <br /> gaE length of line if needed.) Beginning Level to Smee Lawer- Es ansisn+ <br /> of which Bake, Alter Product Readingp Expansion(+)or At Lou Land smnpub <br /> H4 NJ Reading Restored Reading Reading Recevend I+) (c) Contraction- Contraction(-) sheet,Mr Nmf <br /> #33(V)-#37(7) (NFPA mama) <br />
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