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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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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
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EHD - Public
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SWRCB,January 2002 Page of <br /> 6. ER-DISPENSER CONTAIN��IENT (L9)C) TESTING <br /> Test Method Developed By: ] UDC Manufacturer 0 Industry Standard E, Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure ❑ Vacuum ❑Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> quip t <br /> rrP�,k h''�lj��t{ l Y� " '- r_i� _":,F' �. c,?:rS.4TeL:��... _r.._' {7.n•.='i rr..i... c:'_'fFa.:r� �'.,.a w:..; __`'�4 P� <br /> UDC# UDC# i, UDC# _ �,«L'])C# <br /> UDC Manufacturer: <br /> UDC Material: <br /> UDC Depth: <br /> Height from LDC Bottom to Top <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to <br /> Lowest EIectrical Penetration: <br /> Condition of UDC prior to <br /> testing: <br /> Portion of UDC Tested <br /> Does turbine shut down when <br /> UDC sensor detects liquid (both ❑Yes ❑No 10/1A Yes No C'I�A ❑Yes L o C NA ❑Yes ❑No +!NA <br /> product and water)?` <br /> Turbine shutdown response time <br /> Is system programmed for fail- ❑ Yes ON/ <br /> N ❑NA ❑Yes u No A ❑Yes�E]No <br /> C NA C Yes ❑No ;C NA <br /> safe shutdown?Was fail-safe verified to beo erational?` C Yes ❑. o ❑NA ❑Yes ❑No CNA C Y '❑NA ❑Yes '—"No ❑NA <br /> Wait time between applying <br /> pressure/vactrum/water and <br /> starting test <br /> Test Start Time: <br /> Initial Reading Ri): <br /> Test End Time: <br /> Final Reading F): <br /> Test Duration: <br /> Change in Reading(RF-1;Q: <br /> Pass/Fail Threshold or Criteria: <br /> Tesf.Result-. 0<Pass ';.;�:Faii: Q Pass::: ;C1.Fail ❑ .Pass 0."-F it I7 Pass ❑Fail ... <br /> Was sensor removed,for testing? n Yes C No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ( ❑Yes 0 No ❑NA <br /> Was sensor properly replaced and ;F]Yes ❑No ❑NA ❑Yes C No 0 NA ❑Yes ❑No ❑NA ❑Yes ❑No C NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing and recommended follow-up for foiled tests) <br /> t If the entire depth of the LTDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br /> asterisk(*)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160) <br />
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