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COMPLIANCE INFO_2008-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231547
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COMPLIANCE INFO_2008-2018
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Last modified
3/8/2023 3:48:09 PM
Creation date
6/23/2020 6:49:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2018
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231547_13850 N DE VRIES_2008-2018.tif
Tags
EHD - Public
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Was sensor removed for testing? X Yes ❑ No ❑ NA <br />❑ Yes 0 No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />a <br />verified functional after testing? X Yes ❑ No ❑ NA <br />�zr , <br />❑Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />dc1 CPA2 <br />x <br />Page 2 <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: <br />❑ Tank Manufacturer <br />X Industry Standard 0 Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure <br />X Vacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: <br />Equipment Resolution: <br />Tank # Diesel <br />Tank # Tank # Tank # <br />Is Tank Exempt From Testing?' <br />❑ Yes X No <br />0 Yes 0 No ❑ Yes ❑ No ❑ Yes ❑ No <br />Tank Capacity: <br />550 gallon <br />Tank Material: <br />FRP <br />Tank Manufacturer: <br />Xerxes <br />Product Stored: <br />Diesel <br />Wait time between applying <br />pressure/vacuum/water and <br />+/- 30 Min <br />starting test: <br />Test Start Time: <br />8:00 AM <br />Initial Reading (RI): <br />7" of VA <br />Test End Time: <br />9:00 AM <br />Final Reading (RF): <br />7" of VA <br />Test Duration: <br />1 hr <br />Change in Reading (RF -RI): <br />No Loss <br />Pass/Fail Threshold or Criteria: <br />One hour, no loss <br />Was sensor removed for testing? X Yes ❑ No ❑ NA <br />❑ Yes 0 No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? X 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 />' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />I:\apps\JOBS\2006\ 1493\SB989.doc <br />
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