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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 SUMP TEST 4G , <br /> Facility is Not Equipped With Fill Riser Containment Sumps ❑ <br /> Fill Riser Containment Sumps are Present.but were Not Tested <br /> Test Method Developed By: Sump Manufacturer C Industry Standard Ej Professional Engineer <br /> u Other(Specify) <br /> Test Method Used: �]Pressure C Vacuum C Hydrostatic <br /> Other(Specify) <br /> Test Equipment Used: Equipment Resolution.- <br /> FM <br /> esolution:Fill Sump# Filt Sump# j Fill Sump# Fel Sump# <br /> �bs xtiayv„N . <br /> Sump Diameter: <br /> Sum h: <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to <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: i <br /> Initial Reading ): I <br /> Test End Time: <br /> Final Reading ): I <br /> Test Duration: <br /> Change in Reading(RF-Ri): <br /> Pass/Fail Threshold or Criteria: <br /> '><'est.Bes itt.: <br /> 0_P=_: s O w Q :Pass Q; Q: Pass. C71 a 0:Paas O'.Fai . <br /> Is there a sensor in the sump? C Yes C No 0 Yes ❑No ❑Yes No a Yes No <br /> Does the sensor alarm when <br /> either product or water is ;0 Yes C No C NA Yes 11 No U NA C Yes u No ONA C Yes D No C'NA <br /> detected? <br /> Was sensor removed for testing? Ei Yes C No C,NA ❑Yes C No O NA C Yes No DNA E:Yes 0 No ❑NA <br /> Was sensor properly replaced andYesNo ❑NA Yes No NA <br /> verified fimctional'after testing? I C Yes C No NA C Yes :]'.No G NA <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> r <br />
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