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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, UNDER-DISPENSER CONTAINME C TESTING <br /> Test Method Developed By: ❑UDC Manufacturer ndustry Standard ❑Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum ydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: C Equipment Resolution: <br /> UDC# UDC# UDC# UDC# <br /> UDC Manufacturer: <br /> UDC Material: <br /> UDC Depth: I <br /> Height from UDC Bottom to Top r/ <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to <br /> testing: C/ ! <br /> Portion of UDC Tested <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both ❑Yes ❑No C8'NA ❑Yes ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA <br /> product and water)?' <br /> Turbine shutdown response time <br /> Is system programmed for fail- � <br /> safe shutdown? ❑Yes ❑No 3KA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was fail-safe verified to be <br /> ❑ <br /> o erational?* Yes ❑No XA ❑Yes ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ElNA <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 <br /> uration.- <br /> Chan a in Reading (RF—RI): CJ <br /> Pass/Fail Threshold or Criteria: Ll <br /> `> cResa ass: <br /> P, E.Q Fa�T= Q I'a�s: f❑'Faik € I'a;s Qt <br /> Was sensor removed,for testing? es ❑No ❑NA E Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testis ? ❑Na F1 NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NALD <br /> Yes ❑No ❑NA <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> F If the entire depth of the UDC 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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