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COMPLIANCE INFO_2002-2012
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2300 - Underground Storage Tank Program
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PR0231309
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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
Tags
EHD - Public
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8, FILL RISER CONTAINMENT SUMP TE STING <br />Facility is Not [ cttaappc.d With [111 Miser C"oaatainment Sumps <br />[ i1l aet C oatitnttac ttt Sumps Eire Fres« ttt intoe loot t �stc ci � <br />Test Method Developed By: Sump Manufacturer [] Industry Standard [- professional Engineer <br />El other (Spv0j/ ) <br />.._.: _ ..............__ _.. _.. ....____ ..... _.......... <br />.. <br />Zest Method Used: <br />Ej Pressure V acuaaara (� Hydrostatic <br />C] Other 451yecij>) <br />..._ __. __� _...: _._ _ ._....... <br />fest l,c taipnaent Llse-<t: <br />Equipment Resolutiota: <br />'iil au # Fill Sump 4 Frill Sump 4 `ill Sump H <br />riU#Ti [�i'lialt'tb't �� <br />Sung Depth <br />f eltMt trona I an [ op to Tcsl� o#' <br />l Hi -hest Piping Penetration: <br />Height frons 'Tank 'hop to Lowest j <br />Electrical Penetration: � <br />C tst�ciitioti of �taarap prai>r t�� tcstul <br />�m __..__.._._ . — ..... <br />int rtaon of Stu estcd <br />I <br />Sump Material: <br />aa[:__ __.,_4_ <br />Wait time between applyin" �--t <br />pressure" ac.nuan" ate and starting C <br />test <br />hest Start Time: <br />Initial Reading <br />_... <br />fest E ncf (ilio <br />Final Rcadang, (111.) <br />Test Duration: <br />(h nge in kteadjng (Kr- RO: <br />w _.._ ._.................................._. _ _ .._ ._ <br />Pas:/Fail Threshold or Criteria: I <br />r_ .... _. <br />11 Test Result: <br />rise. suna'� � �e i. � ..._ [� �Y€sNcsi� _ _ _ F'��'cs �`�tl Hca �f�tla <br />_. <br />a Does the wnsor alarm when either E <br />� N <br />n Y <br />s�rc�c�tict int' <�ater as detected? El No [.[_1A l [I `res ElNoil [:1 Yes [I No[:1NA [] Yes [:1 NoF1NAWas sensor t. n11oved for to sti no" �] Ye, [] No ❑ NA ❑ Ys.s No (� ❑ NrA O Yes [ No [� NA F-1YesF ] No [ 1 A <br />Maas sensor properly replaced and [ Yes [� No C] NA l yes, NA [ j Yes No A <br />verified functional after testan�;:' <br />Comments— <br />" <br />omments MirrettdclEw t_�..trr& tt r ssurl_n <br />c 111l11111 1.1111,cic�c� f�ail1 tr a l�aGS/ _...... <br />ILL U .... .. . ._ <br />Secondary Contaitlintfat Test Rescslts 6 of°6 <br />
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