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COMPLIANCE INFO_2020
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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PR0231906
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/3/2021 4:04:16 PM
Creation date
1/17/2020 11:55:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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EigI Work Order Job : 339542 <br /> Service Station Systems, Inc. PO#: 3382477 <br /> 680 Quinn Ave <br /> San Jose CA 95112 Ref# : 3382477 <br /> (408)971-2445 <br /> dispatch@servicestationsystems.com <br /> Contractor License: 485184 <br /> Customer: Site: <br /> Boyett Petroleum Kwik Sery 113 <br /> 601 McHenry Ave 420 W Kettieman Lane <br /> Attn Accts Payable Lodi, CA 95240 <br /> Modesto, CA 95350 <br /> Work Performed <br /> Category : Dispensers Unit# : 01 <br /> Component: Operations Item : GIL ENCORE 700 NN-1 <br /> Failure: Slow Serial# : EN00003232 <br /> Repair: Adjusted Task# : 1 <br /> Enter Date/Time of Service (Military Time) : 10-24.2019 08: 00 The following data was recorded by (Tech Mike Smith <br /> First/Last Name): <br /> Visually inspected ALL Hanging Hardware PASS INSPECTION BEFORE any testing obtained fuel sample, SAMPLED FROM <br /> Components for damage: took picture(s) and attached picture(s) to job , DISPENSER(s) <br /> Tested dispenser flow rate(s) , updated test ALL FLOW RATES Closed and secured all dispenser door(s): COMPLETE <br /> form and job task: BETWEEN 6.540GPM <br /> Dispensed the following fuel grade(s) for MULTIPLE GRADES Volume of product dispensedlreturned (GAL): 10 .00 <br /> testing purposes and returned back to <br /> appropriate tank : <br /> Dollar amount of product dispensedlretumed 40.00 Waste Disposal left on site: NO WASTE <br /> ($): GENERATED <br /> Attached picture of waste drum label with an DRUM NOT While addressing this task I created and No alarms created <br /> accumulation date clearly written : REQUIREDIUSED cleared the following new Monitoring System <br /> alarm(s): <br /> Update Site Maintenance and ISD Logs , TAKE LOGS NOT Name of person site keys returned to OR Did Did not use <br /> PICTURES and attach to job: AVAILABLE WHEN Not Use: <br /> REQUESTED <br /> The status of this task is : CLOSED = COMPLETE Brief Summary of Repairs or Additional Tested 87 grade ok. No <br /> Details: slow flow issue found . <br /> Line pressure holding <br /> ok. MLD working <br /> properly. Tested 91 <br /> grade and was able to <br /> duplicate slow flow <br /> Issue with MLD, Line <br /> pressure dropping <br /> slowly and MLD not <br /> resetting right away. <br /> Need to order MLD, <br /> check valve and o-ring <br /> kit for 91 grade <br /> turbine. <br /> Category: Dispensers Unit# : 01 <br /> Component: Fuel Item : GIL ENCORE 700 NN - 1 <br /> Failure: Sample Serial# : EN00003232 <br /> Repair: Picture Taken Task# : 2 <br /> Report Date : 10/ 25/2014 3 : 13 : 54 PM PST Page 1 of 5 <br /> IS <br />
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