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COMPLIANCE INFO_2006-2015
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2300 - Underground Storage Tank Program
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PR0231348
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COMPLIANCE INFO_2006-2015
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Last modified
12/12/2023 9:41:51 AM
Creation date
6/3/2020 9:47:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2015
RECORD_ID
PR0231348
PE
2361
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
01
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231348_601 E KETTLEMAN_2006-2015.tif
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EHD - Public
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SWRCB, January 2002 Page of <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: <br />X Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ Pressure <br />❑ Other (Specify) <br />X Vacuum <br />❑ Hydrostatic <br />Test Equipment Used: Gast Vacuum Pump/Vacuum Gauges in Hg. <br />Tank # 1 Tank # 2 <br />Is Tank Exempt From Testing? ❑ Yes x No ❑ Yes x No <br />Equipment Resolution: <br />Tank # 3 <br />❑ Yes x No <br />-1/2-30Hg. <br />Tank # 4 <br />❑ Yes x No <br />Tank Capacity: <br />10K <br />12K <br />12K <br />l OK <br />Tank Material: <br />Fiberglass <br />Jacketed DW Steel <br />Jacketed DW Steel <br />Jacketed DW Steel <br />Tank Manufacturer: <br />XERXES <br />Modern Welding <br />Modern Welding <br />Modern Welding <br />Product Stored: <br />Supreme 91 <br />Regular 87 <br />Regular 87 <br />Diesel <br />Wait time between applying <br />vacuum and starting test: <br />30 Minutes <br />30 Minutes <br />30 Minutes <br />30 Minutes <br />Test Start Time: <br />10:35 <br />9:45 <br />9:55 <br />9:30 <br />Initial Reading (RI): <br />-IOHg. <br />-5 Hg. <br />-5 Hg. <br />-5 Hg. <br />Test End Time: <br />11:35 <br />10:45 <br />10:55 <br />10:30 <br />Final Reading (RF): <br />-101-1g. <br />-5 Hg. <br />-5 Hg. <br />-5 Hg. <br />Test Duration: <br />1 Hour <br />1 Hour <br />1 Hour <br />1 Hour <br />Change in Reading (RF -RI): <br />0 Hg. <br />0 Hg. <br />0 Hg. <br />0 Hg, <br />Pass/Fail Threshold or Criteria: <br />➢ -2 Hg. <br />No Loss in Hg. <br />No Loss in Hg. <br />No Loss in Hg. <br />Test Result., ' :: <br />X, Pass ❑Fail ` <br />X Pass C1 Fail <br />X Pass ❑ Fal <br />X Pass 0 Fail <br />Was sensor removed for testing? <br />Yes X No NA <br />X Yes No NA <br />X Yes No NA <br />X Yes No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />Yes No X NA <br />X Yes No X NA <br />X Yes ❑ No NA <br />X Yes ❑ No NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />
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