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COMPLIANCE INFO_2002-2012
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COMPLIANCE INFO_2002-2012
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Last modified
8/12/2022 3:24:31 PM
Creation date
6/23/2020 6:45:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2012
RECORD_ID
PR0231309
PE
2361
FACILITY_ID
FA0003756
FACILITY_NAME
KISHIDA, GEORGE INC
STREET_NUMBER
1725
STREET_NAME
ACKERMAN
STREET_TYPE
DR
City
LODI
Zip
95240
APN
06219001
CURRENT_STATUS
01
SITE_LOCATION
1725 ACKERMAN DR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231309_1725 ACKERMAN_2002-2012.tif
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EHD - Public
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SWRCB, January 2002 <br />6. PIPING SUMP TESTING <br />Page q of ___J_. <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard Professional Engineer <br />0 Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum > Hydrostatic <br />❑ Other (Spec) /\� <br />Test Equipment Used: eci 4vo2 it 0,,,&, —X -Al 6 ca ,p I Equipment Resolution: U Z <br />Sump # <br />Sump # Z <br />Sump # <br />Sump # <br />Sump Diameter: <br />t <br />I,% I <br />Sump Depth: <br />L� 3 11 <br />Sump Material: <br />�lr <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />rucc: I i12' <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />Portion of Sump Tested' <br />W 17 le"c . 15112", <br />"? f rk- le'4 L -;?O <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />product and water)?* <br />es 0 No D NACies <br />0 No ❑ NA <br />0 Y ❑ No ❑ NA <br />0 Yes ❑ No D NA <br />Turbine shutdown response time <br />"aI AlatweJ <br />"el. tae ute�l <br />Is system <br />shutdown?programmed for fail-safe <br />�,/�,es 0 No ❑ NA <br />✓,� <br />!%Yes 11No 0 NA <br />❑ Yes D N ❑ NA <br />❑ Yes DNA <br />Was fail-safe verified to be <br />o erational?' <br />0 Yes � o 0 NA <br />0 Yes" No 0 NA <br />❑ Yes N D NA <br />D Yes ❑ o 0 NA <br />Wait time betwee ing <br />pressure/vacuu water starting <br />test: <br />ffl ^'P c,E. a S <br />/4 T-/.? It'l � -ej <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />3 v rrt ,vt"4--e S <br />30 <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or Criteria: <br />, O ®,f 3e r1t , vl <br />Test Result:Pass <br />❑ Fail <br />Pass ❑ Fail <br />I Pass ❑ F it <br />h Pass 0 Fai <br />Was sensor removed for testing? <br />Yes 0 No 0 NA <br />Yes 0 No ❑ NA <br />es 0 No 0 A <br />Yes 0 No 0 N <br />Was sensor properly replaced and <br />verified functional after testing? <br />Yes 0 No DNA <br />ZYes 0 No D NA <br />Yes 0 No ❑ N <br />0 Yes ❑ No 0 NA <br />Comments (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />' If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (") is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />
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