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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
Tags
EHD - Public
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SWRCB, January 2002 <br />5. PII'ING SUMP TESTING <br />Page Z of 'L - <br />Test Method Developed By: 0 Sump Manufacturer 2ndustry Standard ❑ Professional Engineer <br />Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum -R-gy-drostatic <br />❑ Other (Specify <br />Test Equipment Used: <br />Equipment Resolution: <br />F:. ,,,x aea' .. <br />'cox • ."` <br />Sump # <br />Sump # <br />Sump# <br />Sump # <br />Sump Diameter: <br />Sump Depth: <br />Sump Material: <br />Height from Tank Top to Top of <br />Highest Piping Penetration; <br />17, (� <br />Height from Tank Top to Lowest <br />„ <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />Portion of Sump Tested' <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />product and water)?. <br />Turbine shutdown response time <br />Ism programmed for fail-safe <br />shutdowtdown? <br />-Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was fail-safe verified to be <br />o erational?` <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA " <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -Rt): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail" <br />❑ Pass ` ❑ Fail <br />0 Pass ❑ Fail <br />Was sensor removed for testing? <br />u Yes ❑ No ❑ NA <br />❑ Yes ❑ No [INA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />- yes ❑ No ❑ NA <br />❑ Yes ❑ 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 />Syrn S N Q`i- S�GPrLC-') — A)Q Tt=:!�T— <br />' If the entire depth of the sump is not tested, specify how much was tested. If the answer to a� 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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