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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DE VRIES
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2300 - Underground Storage Tank Program
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PR0231547
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
8/28/2023 2:55:01 PM
Creation date
1/6/2022 8:43:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
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 0 Industry Standard ❑ Professional <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Test Equipment Used : Incon TS STS, <br /> Sump/UDC ID Fill Sump Piping Vault Vent Box <br /> Sump Manufacturer Containment Bravo Bravo <br /> Sump Depth (inches) 74 30 30 <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) 31 13 11 <br /> Test Start Time 12:48 12:48 12:48 <br /> Initial Reading 4.0924 4.7018 5.8207 <br /> Test End Time 13:03 13:03 13:03 <br /> Final Reading 4.0939 4.7016 5.8207 <br /> Change in Reading 0.0015 0.0002 0 <br /> Pass/Fail Criteria 1 0.002 1 0.002 0.002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail N Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <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 ❑ 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 6 <br />
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