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COMPLIANCE INFO_2021
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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PR0231348
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/4/2021 9:21:53 AM
Creation date
1/14/2021 7:54:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231348
PE
2361
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
01
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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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 ® Hydrostatic <br /> Test Equipment Used: Caldwell Level Change Indicator <br /> Sump/UDC ID 1-91-PS 2-87-PS 3-87-PS 4-Diesel-PS <br /> Sump Manufacturer Unknown FGC Unknown FGC Unknown FGC Unknown FGC <br /> Sump Depth (inches) 73"" 49" 70" 70" <br /> Sump Bottom to Top of 24 1/2" 20" 16" 15" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 8:32 8:37 9:12 9:17 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 9:02 9:07 9:42 9:47 <br /> Final Reading .001 .001 .001 .001 <br /> Change in Reading 0 0 0 0 <br /> Lss/FailCriteria > .002 > .002 > .002 > .002 <br /> htness Test Results M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Sump/UDC ID UDC 1&2 UCD 3&4 UDC 5&6 UDC 7&8 <br /> Sump Manufacturer Bravo FGC Bravo FGC Bravo FGC Bravo FGC <br /> Sump Depth (inches) 28" 28" 28" 28" <br /> Sump Bottom to Top of 11" 10" 10" 10" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 9:52 9:57 10:02 10:07 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 10:22 10:27 10:32 10:37 <br /> Final Reading .001 .001 .001 .001 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 > .002 <br /> Tightness Test Results ® Pass ❑ Fail ® 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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