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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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S W RCB, January 2002 <br />8. FILL RISER CONTAINMENT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sum s <br />Fill Riser Containment Sumps are Present, but were Not Tested 0 <br />Te',st Method Developed By: 0 Sump Manufacturer 0 Industry Standard <br />0 Other (Spec) <br />Test Met1W Used: C Pressure 0 Vacuum <br />0 Other (Specify) <br />Test Equipment Used <br />Page 6 of 0— <br />u Professional Engineer <br />0 Hydrostatic <br />Resolution: <br /># F'1 <br />Sum Diameter: ��•,1. <br />_......... <br />t # <br />1Sum <br />Sump Depth: <br />Height from TankTop to —Top <br />' <br />Highest Pi in Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />, <br />testing. <br />Portion of Sum Tested <br />Sump Material: <br />,. <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Chane in Readin RF- <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />❑ Pass ❑Fail <br />❑ Pass ❑ Fail <br />❑ Pass <br />❑ Fail <br />❑ Pass ❑ Fail <br />Is there a sensor in the su <br />❑ Yes 0 No <br />0 Yes 0 No <br />0 Yes <br />❑ No <br />❑ Yes 0 No <br />Does the sensor alarmen <br />either product or w ter is <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No [INA <br />❑ Yes ❑ No <br />❑ NA <br />❑ Yes No 0 NA <br />detected? <br />Was sensor r9doved for testing? <br />❑Yes ❑ No 0 NA <br />0 Yes 0 No ❑ NA <br />—1-0 Yes 0 No <br />0 NA <br />❑ Yes ❑ No A <br />Was sensq properly replaced and <br />�. <br />verified functional after testing ? <br />0 Yes 0 No ❑ NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No <br />0 NA 1 <br />0 Yes 0 No 0 NA <br />Comments — (include Information on repairs made prior to testing, and recommended follow up for <br />failed tests) <br />
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