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COMPLIANCE INFO_2020
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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PR0231866
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
2/25/2021 8:34:53 AM
Creation date
7/15/2020 4:46:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231866
PE
2361
FACILITY_ID
FA0003957
FACILITY_NAME
AT&T California - UE020
STREET_NUMBER
124
Direction
W
STREET_NAME
ELM
STREET_TYPE
St
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
124 W Elm St
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum p Hydrostatic <br /> Test Equipment Used: Fill Sump <br /> Sump/UDC ID DSL Fill Sump <br /> Sump Manufacturer Fiberglass <br /> Sump Depth (inches) 52" <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration 20" <br /> (inches) <br /> Test Start Time 09:00 A.M. <br /> Initial Reading 3.2532° <br /> Test End Time 09:15 A.M. <br /> Final Reading 3.2533° <br /> Change in Reading +0.0001 <br /> Pass/Fail Criteria Pass <br /> Tightness Test Results p Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID Piping <br /> Sump Manufacturer Fiberglass <br /> Sump Depth (inches) as° <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration 17" <br /> (inches) <br /> Test Start Time 09:00 A.M. <br /> Initial Reading 2.9195° <br /> Test End Time 09:15 <br /> Final Reading 2.9196° <br /> Change in Reading +0.0001 <br /> Pass/Fail Criteria Pass <br /> Tightness Test Results El Pass ❑ Fail D Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> All tests marked "Fail"and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 3 of 5 <br />
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