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COMPLIANCE INFO_2014 - 2018
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO_2014 - 2018
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Last modified
6/11/2019 2:30:29 PM
Creation date
4/10/2019 4:46:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014 - 2018
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Dynamic Back Pressure Test <br /> Afforda- 1 eSt <br /> 416 2nd Street ® TP 201.4 <br /> Galt, Ca. 95632 <br /> (209)744-0112(800)524-9087 FAX(209)744-0116 ® Static Pressure Decay Test <br /> TP 201.3 <br /> Owner/Contractor/Eng: TEST DATE: 9/26/2018 TIME: UST ® AST ❑ <br /> TECHNICIAN NAME: <br /> SITE NAME: FLAG CITY CHEVRON ZANE NIMMO ❑ PT ❑ Startup Test ® Compliance Test <br /> Address:6421 CAPITOL AVE <br /> City:LODI,CA 95240 I declare, under penalty of perjury under the laws of the state <br /> of California that based on information and belief formed Inspector: <br /> Phone: after reasonable inquiry, the statements and information <br /> Contact: <br /> provided in the document are true,accurate,and complete. Present ❑ Not Present <br /> Confirmation# 18-25912 TECHSIGNATURE: <br /> Permit or Facility#N-714 <br /> #DISPENSERS 6 DISPENSER Make: WAYNE NOZZLE Make: VS T PV Valve Make:HUSKY <br /> #TOTAL NOZZLES 12 Model: Model:E VR Model: 5885 <br /> MANIFOLDED: Yes ® No F1 BALANCE ® ASSIST ❑ Assist Type:VR 203/204 <br /> Tank Tsnk2 Tauk3 Tank4 TOTAL <br /> Fuel Grade 91 87 -M 87 -AUX ALL Initial pressure before testing--1.02 " W c <br /> #Noules per Tank 12 — __ 12 EQUIPMENT <br /> Actual Tank Capacity 11,527 9,684 9,684 30,895 Decay: Blockage: <br /> Gasoline Volume 4,725 4,556 4,639 13,920 Incline Manometer <br /> ❑ Incline Manometer ❑ <br /> llllage(C.,au,misa:vows,.) 6,802 5,128 5,045 16,975 Magnehelic Guage ❑ Magnehelic Guage <br /> Phase 1 SystcmType:2pt EVR Coaxial 0 P W EVR. <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure(wrhes water)210 2,00 Equipment Calibration Date: 7/13/2018 <br /> 200 Drift Check End Value: .00 <br /> PSI I Minute(I.A.wm . <br /> eq Nitrogen Intro.Point: 87 VA <br /> PSI @ 2 Minutes "' 2,00 <br /> PSI @ 3 Minutes 228 2.00 Allowable Fill Time A 2 scfm 11:09 <br /> PSI @ 4 Minutes 1 2.00 1 <br /> Time 1:4:38 <br /> Final Pressure@)5 Minutes(wehts Water) ENVIR WENTAI HPAI TH 2.00 Time 2: <br /> Allowable Final Pressure(GARB) 1.90 RTME T Time 3: <br /> Liquid Removal Check,Dynamic Back <br /> Pressure(if due),and Parts& <br /> _______ ------ �_e__ ___�__ PASS Repairs Are Listed on Page 2. <br />
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