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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 /> 5. PIPING SUMP TE§MG <br /> Test Method Developed By: 0 Sump Manufacturer dustry Standard El Professional Engineer <br /> 0 Otr(Specify) <br /> Test Method Used: NIfressure 0 Vacuum 0 Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Sump# Sump# sump# 3 Sump <br /> Sump Diameter: <br /> 7, <br /> Sump Depth: <br /> Sump Material: 6_1 <br /> Height from Tank Top to Top of Z,/, <br /> Highest Piping Penetration: <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 11 Yes 11 No 0 NA DYes ONo DNA ElYes ONo [INA 0 Yes 0 No 0 NA <br /> product and water)?* <br /> Turbine shutdown response time <br /> Is system programmed for fail-safe <br /> El <br /> shutdown?* Yes 11 No 0 NIA OYes ONo DNA OYes ON-lo DNA E]Yes ONo DNA <br /> Was fail-safe verified to be 11 Yes 11 No 0 NA 0 Yes 0 No 0 NA 0 Yes D No 0 NA 0 Yes 0 No El NA <br /> operational?*. <br /> Wait time between applying <br /> pressure/vacuum/water and starting <br /> test: <br /> Test Start Time'. Q Z 67 <br /> Initial Reading(Rj): <br /> Test End Time: 5— <br /> Final Reading(RF): <br /> Test Duration: <br /> 3 <br /> Change in Reading(RF-Rt): Q e9 <br /> Pass/Fail Threshold or Criteria: <br /> ...... ... ....... <br /> ad <br /> Was sensor removed for testing? s, ONo EI NA i 0 No ❑NA 916s 0 No 0 14A 0 Yes 0 No D NAI <br /> DIfe <br /> Was sensor properly replaced and NA � []No DNA \E]Yes 11 NA <br /> verified functional after testing? es 0 No 0 NA Uolfes D No El 0 No <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> tn7 Ot: lye <br /> If the entire depth of"lie sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br /> asterisk(*)is"NO" or"NX', the entire sump must be tested. (See SWRCB LG-160) <br />
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