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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
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KBlackwell
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EHD - Public
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SWRCB, January 2002 Page of <br /> 5. PIPING SUMP TES ING <br /> ¢ Test Method Developed By: Sump Nfanufacturerdustry Standard Professional Engineer <br /> Other(Specify) <br /> Test Method Used: Pressure Vacuum ydrostatic <br /> Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> � <br /> v,:,. � "�... <br /> r F kw ��t � <br /> I- umv, <br /> IS # Sump# ! Sump# Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> i <br /> Sump Material: cy r <br /> Height from Tank Top to Top of ;l <br /> Highest Piping Penetration: E <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to testing: ' <br /> Portion of Sump Tested' <br /> Does turbine shut down when <br /> sump sensor detects liquid(both n]Yes G No A Yes El No NA ! Yes No ='NA i Yes No ❑NA <br /> product and water)?' <br /> Turbine shutdown response time ! <br /> Is system progyarnmed for fail-safe <br /> shutdown?" Yes r C No A Yes :1 No NA Yes No NA Yes L Na CNA <br /> Was fail-safe verified to be Yes No A ❑Yes No NA Yes No NA Yes '-No j NA <br /> o ational? <br /> Wait time between applying <br /> pressureivacuumiwater and starting <br /> test: <br /> Test Start Time: <br /> Initial Reading(RO: <br /> Test End Time: <br /> Final Reading(R.): <br /> Test Duration: <br /> Change in Reading(Rr-R{): <br /> Pass/Fail Threshold or Criteria: ° -:'A Z r•Y <br /> IV— <br /> Test ResulEt kris; Q F-Ait` 1..Pass: C]:F Q Fass;: Q %W�: l� Pass: Qi'Fail:. <br /> .' <br /> Was sensor removed for testing? _ No CNA ❑Yes No 0 NA Yes 02 No ❑NA LI Yes -No E NA <br /> Was sensor properly replaced and yes7 No C NA ,Yes C No �]NA C Yes G No C,NA 1 Yes -7-No .JNA <br /> verified functional after ? <br /> Comments—(include information on repairs made prior to resting, and recommended follow-up for failed tests) <br /> t If the entire depth of the sump is not tested, specify how much was tested. If the answer to 4ny of the questions indicated with an <br /> asterisk(*) is`'SIO" or"NA", the entire sump must be tested. (See SWRCB LG-loo) <br />
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