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COMPLIANCE INFO_1991-2008
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2300 - Underground Storage Tank Program
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PR0232519
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COMPLIANCE INFO_1991-2008
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Last modified
9/6/2024 11:37:26 AM
Creation date
6/3/2020 9:57:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1991-2008
RECORD_ID
PR0232519
PE
2361
FACILITY_ID
FA0000483
FACILITY_NAME
BILLS 76
STREET_NUMBER
633
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04321055
CURRENT_STATUS
01
SITE_LOCATION
633 E VICTOR RD STE A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232519_633 E VICTOR_1991-2008.tif
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EHD - Public
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OIL EQUIPMENT SERVICE <br />Division of Keith A. Tallia, Inc. <br />LEAK DETECTOR TEST RECORD <br />Customer <br />Norm's 7 <br />Ll <br />sTATE LICENSE No. 323417 <br />CLASSIFICATION: A -I117,., C61I)40 <br />STATE ENVIRONMENTAL ASSESSOR No. 111781 <br />Telephone: (209) 754-1808 <br />Fax: (209) 754-5726 <br />Post Office Box 950 <br />750 Industrial Way <br />SAN ANDREAS, CALIFORNIA 95249 <br />Date <br />633 E. Victor Rd., Lodi, CA 95240 <br />Technician Product <br />James P. Hesketh I Regular <br />Manufacturer <br />Tokheim <br />Manufacturer <br />Submersible Pump Identification <br />Model No. Serial Number <br />100585-34 _ Ser.#5852 <br />Leak Detector Identification <br />Description Other Style t-euk- I )cEe ctur <br />RJ FX 1 Diaphragm -type X <br />Piston -type <br />Tamper -proof seal installed? Yes No X <br />Leak Detector in Submersible Pump <br />Test at Dispenser <br />1. Operating Pump Pressure 3 2 psi (para. 15) <br />2. Gallons per hour rate 3 (para. 22) <br />3. Line pressure with pump shut off 31 psi (para. 23) <br />4. Bleedback Test with pump off 100 ml (para. 26) <br />5. Step -through time to full flow 4 seconds (para. 30) <br />6. Leak detector stays in leak search position. (para. 42) Yes__ <br />No X__ <br />LEAK DETECTOR TEST *Complete thermal expansion test <br />Note: Pass = Leak detector fits test protocol before failing leak detector. <br />Fail = Leak detector fails test protocol <br />Pass--- <br />Fail--X <br />ass_—Fail___X ____.- <br />%4/02 <br />chnician Date <br />James P. Hesketh <br />
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