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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. I'O/ .5 rifernoeiol Zv ,/00 61A ZZA:G/�2' <br /> Name of Supplier,Owner or Dealer Address No.and Streets) city auto Date of Test <br /> �� 15. TANK TO TEST 16. CAPACITY From <br /> D � Station Chart <br /> Z " f / By most accurate .J <br /> Nominal Capacity ��/ �d capacity chart available ��•}�d ❑ Tank Manufacturer's Chart <br /> c� Identity by position Getlons Gallons ❑ Company Engineering Data <br /> A O f Is there doubt as to True Capacity? ❑ ❑ Chane supplied with "tro pie, <br /> I= Brand and Grade See Section"DETERMINING TANK CAPACITY" ❑ Other <br /> 17. FILL-UP FOR TEST Stick Readings Total Gallons <br /> to K in. Gallons as.Reading <br /> Stick Water Bottom �D. 3�V <br /> before Fill-up [r _ � Inventory <br /> to Ya In. Gallons 7,3 <br /> Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY <br /> Tank Diameter Product in full lank(up to fill pipe) �;Z2 ._ <br /> N /6! -7 !f <br /> ,000 <br /> m1 • 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM <br /> X See manual sections applicable.Check below and record procedure in log(26). ® Stege I <br /> �00> <br /> ' I <br /> j Z 3 Co 0 E] Water in tank ❑ High water table in tank excavation F-1LEne(s)being tested with LVLLT ® stage II <br /> ZD <br /> 3 D 0 0 < <br /> ITT <br /> N 21. TEMPERATURENOLUME FACTOR (a)TO TEST THIS TANK <br /> 19. TANK MEASUREMENTS FOR Is Today Warmer , Colder i 1_°F Product in Tank—°F Fill-up Product on Truck—°F Expected Change( + or - ) <br /> N TSTT ASSEMBLY <br /> l <br /> 0 //D.SS <br /> °F Bottom of tank to Grade*.................... 3 " 22. <br /> aD Thermal-Sensor reading after circulation <br /> Add 30"for 4"L 3n rr digits Nearest <br /> Add 24"for 3"L or air seal ....... 23. Digits per°F to range of expected change 3/ <br /> Total tubing to assemble Approximate ........ <br /> 20. EXTENSION HOSE SETTING 24. Z0 3/l x Don�a�R 7 — ( /9r' R5 5� gallons <br /> total uanlity in caeNicisa t of expansion for volume change in this tank <br /> Tank top to grade................................... 7 " full tank(16 or 17) Involved product per IF <br /> Extend hose on suction tube W or more / n i q�+-7 <br /> below tank top ................I........._......... St7 -rr 25. (0.19109 5 /�.l -i- = l-) L <br /> / i C G� This is <br /> volume change per°F(24) Digits per IF in lest Volume change per digit. test <br /> 'If Fill pipe extends above grade,use top of fill. Range(23) Compute to 4 decimal places. factor(a) <br /> 26. 30. HYDROSTATIC 31. 34. 38.NET VOLUME 39. <br /> LOG OF TEST PROCEDURES PRCONTROL EACH HEADING <br /> ESSURE VOLUME MEASUREMENTS IYI iEMPFAAlURE COMPEMSAIIOM ACCUMULATED <br /> RECORD ID.001 PAL. USE FACTOR(a) CHANGES CHANGE <br /> 27. 28. 29. stanepipa Lard 32. 35. 36. 37. Temperature At High Level record <br /> pAR Record details of setting u i.India Product in Product Change Computation Adjustment soul End Oelueion <br /> A p Baan{ Graduate Replaced(-F Thamd Higher+ (c) • (a)= Volume Minus <br /> and runninglest. Use full Na Sanmr Lower- Expansion+ At Lea Lae compute <br /> ( Beginning Layd to n Expansion(+)or <br /> IiaL length Of line if needed.) al which Beton Alter Product Reading (e) Contraction- Contraction(-) Charge per Hour <br /> 11r hr) <br /> Reading Restored Heading Reading flecovend(+) a33(V)—a37(T) LAFPA cr4eriq <br />
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