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COMPLIANCE INFO_2019
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PR0521866
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COMPLIANCE INFO_2019
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Last modified
9/21/2020 12:41:21 PM
Creation date
9/21/2020 9:32:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0521866
PE
2371
FACILITY_ID
FA0014852
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
610
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
04745039
CURRENT_STATUS
01
SITE_LOCATION
610 S Cherokee Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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Recommended Practices for the Testing and Verification of Spill,Overfill,Leak Detection and Secondary Containment Equipment at UST Facilities <br /> APPENDIX A-2 <br /> ZC I XERXES® TRUCHEK® <br /> making a lasting difference DATA LOG <br /> Fill out the site location,tank information and test boxes below.Be sure to choose the correct test box according to the <br /> diameter of the tank being tested.Follow the test procedures on the other side of this form.A separate test form is needed <br /> for every tank.For additional copies of the form,contact the Customer Service Representative at the Xerxes manufacturing <br /> facility nearest you.(See back cover for information.) <br /> SITE LOCATION AND TANK INFORMATION <br /> Site Location: Tank Information: <br /> Address: _ Nominal Gallons: _ <br /> Diameter: <br /> Phone: Approximate Standpipe Length: <br /> Contact Name: _ Product Type: <br /> Test Date: Person Performing Test: <br /> 4-FOOT-, 6-FOOT- AND 8-FOOT-DIAMETER DOUBLE-WALL TANKS <br /> 95% - 5% TEST 99% -1% TEST <br /> 1 a. Start level(inches in standpipe) 1b. Start level(inches in standpipe) <br /> 2a. End level after 4 hours 2b. End level after 10 hours <br /> 3. Difference(subtract 2a from 1 a) = 3. Difference(subtract 2b from 1 b) _ <br /> 4. Calibration factor x .20 4. Calibration factor x .20 <br /> S. Volume change = 5.Volume change = <br /> 6. Test hours _ 4 6.Test hours 10 <br /> 7. Gallons-per-hour loss - 7. Gallons-per-hour loss = <br /> (If 0.05 gallonsihour or less,tank passed.) (If 0.05 gallons/hour or less,tank passed.) <br /> Note:maximum allowable dispensing volume during test: Note:No product dispensing allowed. <br /> 8-foot-diameter tank-1,200 gallons maximum <br /> 6-foot-diameter tank-500 gallons maximum <br /> 4-foot-diameter tank-300 gallons maximum <br /> 10-FOOT-DIAMETER DOUBLE-WALL <br /> 95% - 5% TEST 99% - 1% TEST <br /> 1 a. Start level(inches in standpipe) 1b. Start level(inches in standpipe) <br /> 2a. End level after 6 hours 2b. End level after 10 hours <br /> 3. Difference(subtract 2a from 1 a) = 3. Difference(subtract 2b from 1 b) _ <br /> 4. Calibration factor x .30 4. Calibration factor x .30 <br /> S.Volume change = 5. Volume change - <br /> 6.Test hours - 6 6.Test hours - 10 <br /> 7. Gallons-per-hour loss = 7. Gallons-per-hour loss = <br /> (If 0.05 gallonsihour or less,tank passed.) (If 0.05 gallons/hour or less,tank passed.) <br /> Note:Maximum allowable dispensing volume during test: Note:No product dispensing allowed. <br /> 10-foot-diameter tank-750 gallons maximum <br /> pei.org <br />
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