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COMPLIANCE INFO_1986-2003
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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Q <br />SWRCB, January 2002 Page of <br />7. FILL RISER CONTANNKNTS TESTING <br />Facility is Not Equipped With Fill Riser Containment Sumps <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br />Test Method Developed By: D Sump Manufacturer ❑ Industry Standard D Professional Engineer <br />D Other (Specify) <br />Test Method Used: ' ; Pressure D Vacuum r Hydrostatic <br />D Other (Specify) <br />Test Equipment Used: <br />Equipment Resolution: <br />x xI NO <br />;,. Fill Sump # Fill Sump # <br />Fill Sump # Fill Sump # <br />Sump Diameter: <br />Sump Depth: <br />Height from Tank Top to Top of <br />Highest Pipi!jg Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testing: <br />Portion --f Sump Tested <br />Sump Material: <br />Wait time between applying <br />pressure/vacuum/water and <br />startin test: <br />Test Start Time: <br />Initial Reading i : <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Readin y Ra : <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />❑ )Pass . ❑ Fail <br />❑ Pass D Fail <br />13 .?ass D Fail <br />D Pass 0.Fail` <br />Is there a sensor in the sump? <br />D Yes D No <br />D Yes G No <br />D Yes = No <br />D Yes D No <br />Does the sensor alarm when <br />either product or water is <br />L' -,Yes D No ❑ NA <br />❑ Yes ❑ No DNA <br />D Yes D No DNA NA <br />D Yes ❑ No ❑ NA <br />detected? <br />Was sensor removed for testing? <br />D Yes D No [INA <br />D Yes D No DNA IDYes <br />❑ No ❑ NA <br />D Yes D No DNA <br />Was sensor properly replaced and <br />verified functional after testing? <br />D Yes D No DNA <br />D Yes D No DNA <br />D Yes ❑ No DNA <br />D Yes D No DNA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />I <br />
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