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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 SU-iV1PTES YLNG_. <br /> Test Method Developed By: — Sump Manufacturer 1!,- dustry Standard C Professional Engineer <br /> -1 Other(Specify) <br /> Test Method Used: Pressure E Vacuum <br /> C Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> A Mr <br /> 4 -7 <br /> - Sump# <br /> Sump# I Sump 4 Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Sump Material: <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <br /> Height from Tank TOP to Lowest A/ <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 7—Yes El No T 4A E Yes 11 No 71 NA =Yes No I NIA E:Yes No ^NIA <br /> product and water)?' <br /> Turbine shutdown response time <br /> Is system progaintned for fail-safe <br /> Yes No -NA F_Yes 2 No CNA <br /> Yes 0 No a, -A E Yes 7—NO C.NA Lj <br /> shutdown?' <br /> Was fail-safe verified to be o CNA Lj Yes —No 71 NA <br /> omational?'. Yes L 1. o C,4A Yes F_Ni Yes No 'NA — <br /> Wait time between applying <br /> pressureJvacuurn/water and starting <br /> test: <br /> Test Start Time: <br /> Initial Reading(RO: <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-R{): <br /> Pass/Fail Threshold or Criteria. <br /> Test Result: 0.Pan 11 Fail 0 Pan. G'Fail, 11 Pass D Fail <br /> Was sensor removed for testing? :1 NO E NA El Yes 0 No C:NTA C Yes ONo, C NA El Yes —_1 No 2 NA <br /> Was sensor properly replaced and <br /> verified functional after testing? V/yes E No CNA Yes E.NO ]NA Yes E No CNA 0 NA <br /> Yes E No <br /> Comments—(include information on repairs made prior to testing, and recommended follow-upfor failed tests) <br /> If the entire depth of the sump is not tested, specify how much was tested. If the answer to qny of the questions indicated with an <br /> asterisk(*) is"NO" or"NX', the entire sump MILISt be tested. (See SWRCB LG-160) <br />
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