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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2300 - Underground Storage Tank Program
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PR0506724
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
7/30/2021 11:27:04 AM
Creation date
1/20/2021 9:42:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 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 1-87-PS 2-91-PS 3-Diesel-PS <br /> Sump Manufacturer Unknown FGC Unknown FGC Unknown FGC <br /> Sump Depth (inches) 62" 61" 62" <br /> Sump Bottom to Top of 15" 17" 15" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 12:22 12:32 1:17 <br /> Initial Reading .001 .001 .001 <br /> Test End Time 12:52 1:02 1:47 <br /> Final Reading .001 .001 .001 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 <br /> Tightness Test Results M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID UDC 1&2 UCD 3&4 UCD 5&6 UCD 7&8 <br /> Sump Manufacturer BSYCS BSYCS BSYCS BSYCS <br /> Sump Depth (inches) 9" 9" 9" 9" <br /> Sump Bottom to Top of BP BP BP" BP" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 12:37 12:42 1:22 1:27 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 1:07 1:12 1:52 1:57 <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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