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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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1721
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2300 - Underground Storage Tank Program
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PR0232355
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/4/2022 11:09:23 AM
Creation date
4/7/2021 4:10:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0232355
PE
2361
FACILITY_ID
FA0000591
FACILITY_NAME
QUIK STOP MARKET #152
STREET_NUMBER
1721
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
062-060-48
CURRENT_STATUS
01
SITE_LOCATION
1721 S CHEROKEE LN # 1
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 /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by 0 Manufacturer 0ā Industry Standard © Professional Engineer <br /> Test Type 0 Pressure Vacuum āIā Hydrostatic <br /> Test Equipment Used: <br /> Tank ID 87 91 Diesel <br /> Tank Manufacturer Xerxes Xerxes Xerxes <br /> Tank Capacity 10K 10K 8K <br /> Test Start Time 09:16 09:17 09:18 <br /> Initial Reading -7 Hg -7 Hg -7 Hg <br /> Test End Time 10:16 10:17 10:18 <br /> Final Reading -7 Hg -7 Hg -7 Hg <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +/-0 +/-0 +/-0 <br /> Tightness Test Results [71 Pass 0 Fail ® Pass © Fail ® Pass © Fail © Pass 0 Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by Manufacturer 0 Industry Standard © Professional Engineer <br /> Test Type © Pressure 0 Vacuum © Hydrostatic <br /> Test Equipment Used: <br /> Pipe Run ID 87 91 Diesel <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 09:00 09:01 09:02 <br /> Initial Reading 5 Psig 5 Psig 5 Psig <br /> Test End Time 10:13 10:17 <br /> Final Reading 5 Psig 5 Psig 5 Psig <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +/-0 +/-0 +/-0 <br /> Tightness Test Results Pass El Fail 71 Pass ® Fail I ©ā Pass ID Fail 0 Pass 0 Fail <br /> Pipe Run ID <br /> Pipe Manufacturer <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results 0 Pass 0 Fail C Pass © Fail I 0 Pass [C] Fail C Pass 0 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 2 of 5 <br />
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