My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2021
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HARNEY
>
255
>
2300 - Underground Storage Tank Program
>
PR0537549
>
COMPLIANCE INFO_2021
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/25/2021 7:59:50 AM
Creation date
4/5/2021 1:54:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0537549
PE
2351
FACILITY_ID
FA0021617
FACILITY_NAME
HARNEY LANE AM PM
STREET_NUMBER
255
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
062-580-40
CURRENT_STATUS
01
SITE_LOCATION
255 E Harney Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
75
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Methods Developed by ❑ Manufacturer ® Industry Standard n Professional EnninPPr <br />Tank ID <br />87A <br />Spill Container Manufacturer <br />OPW <br />Method of Cathodic Protection <br />® Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />® Yes <br />❑ Yes <br />❑ Yes <br />E:] Yes <br />riser volume? <br />E] No* <br />❑ No* <br />E] No* <br />E] No* <br />Method to keep spill container <br />® Drain <br />❑ Drain <br />❑ Drain <br />❑ Drain <br />empty <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Spill Container Test Results <br />® Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />Tank ID <br />Spill Container Manufacturer <br />Method of Cathodic Protection <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />E] Yes <br />riser volume? <br />E] No* <br />❑ No* <br />El No* <br />E] No* <br />Method to keep spill container <br />❑ Drain <br />❑ Drain <br />❑ Drain <br />❑ Drain <br />empty <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Spill Container Test Results <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Fail <br />E] Fail <br />❑Fail <br />❑Fail <br />7. COMMENTS <br />Describe all answers marked "Other', Wo', or `Fail" and each proposed remedy. <br />Replaced bucket that was damaged during the overfill prevention inspection on 7/6/2021. <br />*Mark here if <br />❑ Spill containers do not have minimum capacity of five gallons and require replacement. <br />Additional copies of this page play be attached. <br />
The URL can be used to link to this page
Your browser does not support the video tag.