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ARCHIVED REPORTS_2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4400 - Solid Waste Program
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PR0440005
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ARCHIVED REPORTS_2017
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Entry Properties
Last modified
7/17/2020 3:53:46 PM
Creation date
7/3/2020 10:59:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2017
RECORD_ID
PR0440005
PE
4433
FACILITY_ID
FA0004516
FACILITY_NAME
FORWARD DISPOSAL SITE
STREET_NUMBER
9999
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106001-3, 5
CURRENT_STATUS
01
SITE_LOCATION
9999 AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4433_PR0440005_9999 AUSTIN_.tif
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EHD - Public
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Project Name F-ON,� LMJDR L L- 4VAIXE <br /> Inspector's Name -'30Q I t_ k4&Hft I ENGINEERING <br /> Unit Tested wM o— <br /> Date_ �t <br /> ANNUAL LCRS CONTINUITY TEST INSPECTION <br /> (A)TRACER DYE PRE-TESTING PHASE <br /> 1. Is the LCRS sump pumped for liquids prior to testing? yes—Y, no <br /> 2. Was a pre-testing LCRS sample collected for observation? yesX no <br /> 3. If the sump was not pumped prior to testing,state reason: <br /> 4. Is the entry port free and clear of accumulated debris? yes X no <br /> 5. Are any repairs needed to the poi t prior to LCRS continuity testing?yes no_ <br /> 6. Total number of ports that require repair: <br /> 7. If repairs are required to the entry port,complete a Maintenance Work Order(MWO). <br /> Comments: <br /> (B)TRACER DYE INJECTION PHASE <br /> Tracer Dye Used:_ &VFVML -fJILEZL�yZ Unit:. UIMU-F <br /> -0 Tank Start Reading(gal.): 12-rp <br /> Start time of tracer dye injection: /0 S - <br /> Stop time of tracer dye injection: 11 Tank Stop Reading(gal.): <br /> Total volume of tracer dye mixed(ml) $p <br /> Total volume of tracer dye solution injected in the unit(gallons): '2 iT-0 <br /> Average flow rate of injected tracer dye solution(gallons per min.): <br /> Comments: Tjiaca-t- <br /> !?�4 -W%o <br /> U L/ I <br /> ,/+D t4,kiq a , <br /> Remedial Action Work Order Date Completed Signature <br /> Signature of Inspector <br /> Page 1 of 2 <br />
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