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COMPLIANCE INFO_2013-2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0535432
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COMPLIANCE INFO_2013-2015
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Last modified
1/12/2024 4:04:53 PM
Creation date
6/23/2020 6:39:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0535432
PE
2351
FACILITY_ID
FA0020431
FACILITY_NAME
COSTCO WHOLESALE #1091
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0535432_2680 REYNOLDS RANCH_2013-2015.tif
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EHD - Public
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0 10 RECEIVED <br /> JUN 0 3 2015 <br /> Facility Name: Costco # 1091 Lodi (Page 4) ENVIRONMENTAL <br /> I. Results of Vacuum/Pressure Monitoring Equipment Testing <br /> Manufacturer: Veeder-Root Model : 332117-001 System Type: ❑ Pressure ®Vacuum <br /> Sensor <br /> ID <br /> s9 Component(s) Monitored by this Sensor: 87a Product Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s10 Component(s) Monitored by this Sensor: 87a Vapor Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> S11 Component(s) Monitored by this Sensor: 87a Vent Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s12 Component(s) Monitored by this Sensor: 87b Product Line <br /> Sensor Functional it Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s13 Component(s) Monitored by this Sensor: 87b Syphon Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s14 Component(s) Monitored by this Sensor: 87b Vent Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s17 Component(s) Monitored by this Sensor: 91 Product Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s18 Component(s) Monitored by this Sensor: 91 Vent Line <br /> 11 Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s23 Component(s) Monitored by this Sensor: Additive Product Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication° �tesult: ® Pass: ❑ Fail <br /> s24 Component(s) Monitored by this Sensor: Additive Vent Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> How was interstitial communication verified? <br /> ® Leak Introduced at Far End of Interstitial Space; ❑ Gauge; ' ❑ Visual Inspection; Other(Describe in.J below) <br /> Vacuum was restored to operating levels in all interstitial spaces: ®Yes; ❑ No (If no, describe in J below) <br /> J. Comments: <br />
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