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COMPLIANCE INFO 2002 - 2005
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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PR0231332
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COMPLIANCE INFO 2002 - 2005
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Entry Properties
Last modified
6/12/2019 2:07:54 PM
Creation date
12/4/2018 11:32:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2005
RECORD_ID
PR0231332
PE
2361
FACILITY_ID
FA0003961
FACILITY_NAME
LODI MUNI SERVICE CENTER
STREET_NUMBER
1331
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104050
CURRENT_STATUS
01
SITE_LOCATION
1331 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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SWRCB. January 2002 <br /> Page of <br /> 4. TANK ANNULAR TESTUqG <br /> Test Method Developed By: 0 Tank Manufacturer 0 Industry Standard Professional Engineer <br /> 0 Other(Specify) <br /> Test Method Used: 0 Pressure 0 Vacuum Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> ,Tank 9 Tank 9 Tank Tank 9 <br /> at <br /> Is Tank Exempt From Testing?' C Yes E No 0 Yes 0 No L-1 Yes -_1 No 0 Yes 11 No <br /> Tank Capacity <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RO: <br /> Test End Time: <br /> Final Reading(R,,): <br /> Test Duration: <br /> Change in Reading(RF-Rt): <br /> Pass/Fail Threshold or Criteria: <br /> TesE Result- Q: Pass <br /> : 6 Fait Ll Pass D.Fait-'_.: Fait'. <br /> Was sensor removed for testing? OYes ONo EINA OYes ONo .7-INA Yes C:No Oj NA 0 Yes 0 No NA <br /> Was sensor properly replaced and LO yes ONc, ONA OYes 0No :INA E Yes E No E,NA C1 Yes -,No C:NA <br /> verified functional after testing? <br /> Comments-(include information on repairs made prior to testing, and recommended folImp-apfor failed tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic <br />
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