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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
Tags
EHD - Public
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SWRCB, January 2002 Page of <br /> 7. FILL RISER CONTAINMENT SUNLP TESTING. <br /> Facility is Not Equip ed With Fill Riser Containment Sumps G <br /> Fill Riser Containment Sumps are Present, but were Not Tested <br /> Test Method Developed By: 0 Sump Manufacturer Industry Standard ❑Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure D Vacuum ❑Hydrostatic <br /> 0 Other(Spectfy) <br /> Test Equipment Used Equipment Resolution. <br /> -.r:J �'x`a'.. 'ir'--tiMIN y, '>.a r.w.�..,,.�.a'a�- :r,• ,.:±s t,c;r..,.._ .rs-„�...� - :_,...:�;,.._c�� Fill Sump# � Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: i <br /> Condition of sump prior to J <br /> test' <br /> Portion of Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading ): ! <br /> Test End Time: <br /> Final Reading ): <br /> Test Duration: <br /> Change in Re F-Ri): <br /> Pass/Fail Threshold or Criteria: <br /> Test:°Result Q. Pass:` 17 Earl ET:'Pass . L�Fail Q Prix 0 Fail; ' CI:.Pass .:':Q Fad .'. <br /> Is there a sensor in the sump? ❑Yes ❑No ❑Yes ❑No C,Yes ❑No ❑Yes L No <br /> Does the sensor alarm when <br /> either product or water is ❑ Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes -,No ❑NA <br /> detected? <br /> Was sensor removed for testing? C Yes 0 No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes C No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No J NA ❑Yes ❑No C NA ❑Yes ❑No ❑NA <br /> verified functional"after testing? <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />
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