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INSTALL_1991
Environmental Health - Public
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INSTALL_1991
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Last modified
7/6/2020 4:41:28 PM
Creation date
11/4/2018 3:01:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
1991
RECORD_ID
PR0508337
PE
2361
FACILITY_ID
FA0008040
FACILITY_NAME
SAN JOAQUIN AIR
STREET_NUMBER
12145
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
952429541
APN
05518005
CURRENT_STATUS
02
SITE_LOCATION
12145 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DE VRIES\12145\PR0508337\INSTALL 1991.PDF
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EHD - Public
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PAGE OF TANK NO. <br /> DATE2,2 - 91 TEL-A- LEAK IT''' <br /> PRODUCT LlN/ r-A <br /> LOCATION SAN S O R!N r .✓ A t 2, sti C . FIELD SHEET HEIGHT OF: Test Stand �— <br /> ADDRESS 1 2 1 klS /U o. p z"/IZI GJ 2 J- / 3 I Fill Pipe <br /> CITY LQ 0 f Product Temp. TOTAL <br /> , Tank Diam. <br /> PHONE Measured Gravity ��4t PRESSUREo PSI <br /> Temp. Indicator. (2) B C D TO TANK BOTTOM WATER TABLE <br /> Coefficent Average � S .� II known <br /> TYPE OF SYSTEM <br /> WATER IN TANK ❑ Inches <br /> ` Hand ❑ TurbineE!r Manifold <br /> 1 B� <br /> Suction ❑ Linetest❑ Siphon Vent Size Fill Size <br /> Vapor Recovery Stage 1$ Stage 2 ❑ TYPE of COVER Tank Monitor 011*� Well Point ❑ Remote Fill ❑ <br /> Overspill E7` Droptube with Float Valve ❑ Concretela,� Blacktop ❑ � <br /> Leak Detector {3'" Extractor Valve .a- Fn r, a �@E%E9/in -3-. -A-(B) <br /> Earth ❑ Other TANK SIZE B FACTOR <br /> LEVEL LEVEL GAINS X(B) LEVEL TEMP TEMP GAIN+ X(B) TEMP FINAL Start <br /> START END LOSS- FACTOR RESULT START END LOSS- FACTOR RESULT RESULTS Time <br /> x u3Y0 j V - 0 fV = D x 3 . S <br /> X .5' - _ x 0 <br /> �t1 = + ( x oo - = x + 1 <br /> x O 1 U - n I I - M.ov 3 x <br /> - = x y so - _ x <br /> _ y1 p x v - _ x +-00,1-2 o 5 <br /> x v - = x OQ 7 - OO? <br /> 5 - = x - OZO = +,poi x <br /> X ,. - o - + x 0JS <br /> - = x Lu - O Z,V = O x Q <br /> REMARKS:M/1 ^y' S V dTc / 2 Test Results r. CERTIFY <br /> ❑ <br /> Operators L �s C, o <br /> License#92-1000 <br />
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