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COMPLIANCE INFO_1986-2003
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231310
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COMPLIANCE INFO_1986-2003
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Last modified
8/25/2022 2:12:40 PM
Creation date
6/23/2020 6:46:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2003
RECORD_ID
PR0231310
PE
2361
FACILITY_ID
FA0003773
FACILITY_NAME
VAN DE POL ENT INC/PACIFIC PRIDE
STREET_NUMBER
351
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04903015
CURRENT_STATUS
01
SITE_LOCATION
351 N BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231310_351 N BECKMAN_1986-2003.tif
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EHD - Public
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SWRCB, January 2002 <br />Test Method Developed By: <br />Test Method Used: <br />Page _ I of 2-- <br />5. PIPING SUMT TUTING <br />❑ Sump Manufacturer 21ndustry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />G Pressure Q Vacuum ydrostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />" 4ren <br />r1- Sum # Sum # <br />Sump #EN1:Sump # <br />ei •g g t d <br />Sump Diameter: �J ( <br />t ty e/ �g 9 si <br />✓ f J <br />Sump Depth: <br />41 if <br />Sump Material: <br />�� <br />�(� <br />6 <br />Height from Tank Top to Top of <br />/' <br />e, <br />I <br />Highest Piping Penetration: <br />./ <br />Height from Tank Top to Lowest <br />i/` <br />.e <br />� ' <br />` <br />Electrical Penetration: <br />� <br />3 <br />Condition of sump prior to testing: <br />L,>e Cj WKT0- <br />jCrr wj <br />ae- Lj <br />W W <br />Portion of Sump Tested' <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />Q Yes Ifo Q NA <br />Q Yes ❑ No DNA <br />❑ Yes ❑ No _ NA <br />Q Yes ❑ No ❑ NA <br />product and water)?* <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />shutdown? <br />❑ Yes B No ❑ NA <br />❑ Yes Q No Q NA <br />Q Yes ❑ No = NA <br />❑ Yes ❑ No ❑ NA <br />Was fail-safe verified to be <br />operational?* <br />❑ Yes 1'No ❑ NA <br />Q Yes ❑ No ❑ NA <br />D Yes ❑ No '_-NA <br />Q Yes ❑ No ❑ NA <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />Test Start Time: <br />Initial Reading (RI): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fai1 Threshold or Criteria: <br />❑Pass D Fail _ <br />Q Pass Q Fail <br />Test Result: v <br />D Pass d Fail .. <br />Q`Pass D Fail <br />Was sensor removed for testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No Q NA <br />❑ Yes Q No NA <br />❑ Yes ❑ No Q NA <br />Was sensor properly replaced and <br />verified functional ager testin ? <br />G Yes ❑ No ❑ NA <br />❑Yes Q No ❑ NA <br />❑ Yes ❑ No = NA <br />❑ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />s✓+r1 as A)_ - Setz@t� ^)0 <br />' if the entire depth of the sump is not tested, specify how much was tested. If the answer to gM 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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