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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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420
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2300 - Underground Storage Tank Program
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PR0231906
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
10/22/2024 11:02:02 AM
Creation date
1/19/2024 11:19:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0231906
PE
2361 - UST FACILITY
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
420 W KETTLEMAN LN LODI 95240
Tags
EHD - Public
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Underground Storage Tank <br />Spill Container Testing Report Form <br />Additional copies of this page may be attached. <br />Page 2 of 2 <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by Manufacturer Industry Standard Professional Engineer <br />Test Type Pressure Vacuum Hydrostatic <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Method to keep spill container <br />empty <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Yes <br />No* <br />Method to keep spill container <br />empty <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />1 <br />8. COMMENTS <br />Describe all answers marked “Other,” “No,” or “Fail” and each proposed remedy. <br />* Mark here if: <br />Spill containers do not have a minimum capacity of five gallons and require replacement.
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