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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO_2022
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Last modified
11/28/2022 11:20:15 AM
Creation date
2/2/2022 11:14:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
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 1-91-PS 2-87-M-PS 3-87-S-PS 4-Diesel-PS <br /> Sump Manufacturer CSI CSI CSI CSI <br /> Sump Depth (inches) 54" 52" 51" 44" <br /> Sump Bottom to Top of 14" 27" 24" 12" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 9:42 10:22 11:02 11:42 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 10:12 10:52 11:32 12:12 <br /> Final Reading .001 .001 .001 .001 <br /> Change in Reading 0 0 0 0 <br /> Lss/FailCriteria > .002 > .002 > .002 > .002 <br /> htness Test Results M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Sump/UDC ID UDC 1&2 UDC 3&4 UDC 5&6 UDC 7&8 <br /> Sump Manufacturer Environ Environ Environ Environ <br /> Sump Depth (inches) 30" 29" 30" 30" <br /> Sump Bottom to Top of 9" 9" 9" 9" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 11:47 11:52 11:57 12:32 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 12:17 12:22 12:27 1:02 <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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