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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
Scanner
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 (continued) <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 UDC 9&10 UDC 11&12 Vent Sump <br /> Sump Manufacturer Environ Environ Bravo <br /> Sump Depth (inches) 30" 29" 27" <br /> Sump Bottom to Top of 9" 9" 10" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 12:37 12:42 12:47 <br /> Initial Reading .001 .001 .001 <br /> Test End Time 1:07 1:12 1:17 <br /> Final Reading .001 .001 .001 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 <br /> Tightness Test Results M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID 1-91-FS 2-87-M-FS 3-87-S-FS 4-Diesel-FS <br /> Sump Manufacturer CSI CSI CSI CSI <br /> Sump Depth (inches) 52" 50" 49" 42" <br /> Sump Bottom to Top of 10" 10" 10" 10" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 9:47 10:27 11:07 12:57 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 10:17 10:57 11:37 1:27 <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 4 of 5 <br />
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