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COMPLIANCE INFO_2003 - 2007
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0521866
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COMPLIANCE INFO_2003 - 2007
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Last modified
9/20/2021 3:49:10 PM
Creation date
11/2/2018 5:10:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2007
RECORD_ID
PR0521866
PE
2371
FACILITY_ID
FA0014852
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
610
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
04745039
CURRENT_STATUS
01
SITE_LOCATION
610 S Cherokee Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\C\CHEROKEE\612\PR0521866\COMPLIANCE INFO 2003 - 2007 .PDF
QuestysFileName
COMPLIANCE INFO 2003 - 2007
QuestysRecordDate
10/28/2016 6:58:12 PM
QuestysRecordID
3244411
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Page 2 of 7 <br /> 4. TANK ANNULAR TESTWG <br /> Test Method Developed By: C Tank Manufacturer ❑Industry Standard 71 Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: o Pressure [B Vacuum C Hydrostatic <br /> No annular space(single wall) ❑Other(Spee) <br /> Tcst Equipment Used: Equipment Resolmion: <br /> Tank Tank Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ❑No 0 Yes ❑No ❑Yes ❑No ❑Yea ❑No <br /> Tank Capacity' <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Stitt Time: <br /> Initial Reading(Rt): <br /> Test End Time: <br /> Final Reading(Rr): <br /> Test Duration: <br /> Change in Reading(RTRt): <br /> Pass/Fail Threshold or Criteria: <br /> Teat Result: 0 Pam ❑Fail ❑ Pass ❑Fail ❑ Pass 11 Fail ❑ Pass ❑Fall <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA t7 Yes ❑No [INA ❑Yes ❑No C NA <br /> Was sensor properly replaced and El Yes 11 No ❑NA ❑Yes C No ❑NA 17 Yes ❑No DNA ❑Yes ❑No 0 NA <br /> verified functional after testis 7 <br /> Comments (include information on repairs made prior to testing, and recommended follmv-rip for failed tesla) <br /> Componetpassed testing requirements on November? 2005 <br /> ' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containment,such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br /> testine. {California Code of Reculations, Title 23.Section 2637(a)(6)1 <br />
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