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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231309
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COMPLIANCE INFO_2021
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Last modified
1/4/2022 11:10:32 AM
Creation date
4/5/2021 1:49:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231309
PE
2361
FACILITY_ID
FA0003756
FACILITY_NAME
KISHIDA, GEORGE INC
STREET_NUMBER
1725
STREET_NAME
ACKERMAN
STREET_TYPE
DR
City
LODI
Zip
95240
APN
06219001
CURRENT_STATUS
01
SITE_LOCATION
1725 ACKERMAN DR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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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 ® Hydrostatic <br /> Test Equipment Used: INCON TS1000- 15 MIN. <br /> Sump/UDC ID DSL 1 DSL 2 1 2 <br /> Sump Manufacturer Unknown Unknown Unknown Unknown <br /> Sump depth (inches) N/A N/A N/A N/A <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration N/A N/A N/A N/A <br /> (inches) <br /> Test Start Time 10:27 11:23 1:00 1:29 <br /> Initial Reading 2.0560 3.2254 2.2867 3.2369 <br /> Test End Time 10:43 11:38 1:15 1:44 <br /> Final Reading 2.0546 2.2246 2.2866 3.2357 <br /> Change in Reading .0014 .0012 .0001 .0012 <br /> ass Fail Criteria 0.002 0.002 0.002 0.002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Sump/UDC ID 1 SAT <br /> Sump Manufacturer Unknown <br /> Sump depth (inches) N/A <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration N/A <br /> (inches) <br /> Test Start Time 12:02 <br /> Initial Reading 1.1456 <br /> Test End Time 12:17 <br /> Final Reading 1.1456 <br /> Change in Reading 0 <br /> Pass/Fail Criteria 0.002 0.002 0.002 0.002 <br /> Tightness Test Results ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> Page 4 of 6 <br />
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