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COMPLIANCE INFO_2019
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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PR0231906
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COMPLIANCE INFO_2019
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Last modified
9/8/2021 3:18:10 PM
Creation date
7/22/2020 4:14:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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SWRCB , January 2002 Page of <br /> 9 . FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps X <br /> Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br /> Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> ❑ Other (Spec) <br /> Test Method Used : ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> ❑ Other (Spec) <br /> Test Equipment Used : Equipment Resolution: <br /> Fill Sump # Fill Sump # Fill Sump # Fill Sump # <br /> Sump Diameter: <br /> Sump Depth : <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration : <br /> Height from Tank Top to Lowest <br /> Electrical Penetration : <br /> Condition of sump prior to <br /> testing : <br /> Portion of Sump Tested <br /> Sump Material : <br /> Wait time between applying <br /> water and starting test : <br /> Test Start Time : <br /> Initial Reading (RI) : <br /> Test End Time : <br /> Final Reading (RF) : <br /> Test Duration : <br /> Change in Reading (RF-RI) : <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: <br /> Is there a sensor in the sump? <br /> Does the sensor alarm when <br /> either product or water is <br /> detected? <br /> Was sensor removed for testing? <br /> Was sensor properly replaced and <br /> verified functional after testing? <br /> Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />
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