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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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J
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JACK TONE
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13475
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2300 - Underground Storage Tank Program
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PR0502118
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COMPLIANCE INFO_PRE 2019
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Last modified
8/11/2021 2:20:46 PM
Creation date
11/5/2018 3:04:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0502118
PE
2381
FACILITY_ID
FA0005333
FACILITY_NAME
JACKPOT
STREET_NUMBER
13475
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06326004
CURRENT_STATUS
02
SITE_LOCATION
13475 N JACK TONE RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\13475\PR0502118\COMPLIANCE INFO.PDF
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EHD - Public
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14. 7-/ DiC t^c� /3�iJS SAS( �NFyd /�irs/ <br /> Codi <br /> Name of Supplier.Owner or Dealer Address No.and Street(e) City soft. Dow of Test <br /> y� 15. TANK TO TEST 16. CAPACITY From <br /> lO By most accurate / �Z O Station Chen <br /> m 1 Nominal Capacity /0, 0670 capacity chart available Tank Manufacturer's Chan <br /> en+ Identify by po.bm. Gallons p y <br /> V9 <br /> ❑ Company Engineering Data <br /> A (>����� Is there doubt as to True Capacity? <br /> I ---� I l Charts supplied withFTMTI}P <br /> Grana and Grade Sae Section"DETERMINING TANK CAPACITY" 'g <br /> f <br /> Other <br /> 11. FILL-UP FOR TEST Stick Readings Total Gallons <br /> Stick Water Bottom to Ya in. Gallons ea.Reading <br /> before Fill-up 11 _ Inventory <br /> o K in. Gallons - <br /> Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY �� - <br /> fn'o Tank Diameter 9S' Product in full tank(up to fill pipe) <br /> 0 <br /> WOo / <br /> a=0 m •18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK 14,6V_,59-1 .4TS-° =S� 2 VAPOR RECOVERY SYSTEM <br /> A-1 y D See manual sections applicable.Check below and record procedure in log(26). <br /> IN Stage I <br /> oD o D EJ Water in tank High water table In tank excavation [] Lineei being tested with LVLLT Stage II <br /> 0 <br /> m <br /> hx 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK <br /> 19. TANK MEASUREMENTS FOR Is Today Warmer?I] Colder?I °F Product in Tank_°F Fill-up Product on Truck F Expected Change( + or ) <br /> "1 TSTT ASSEMBLY _ <br /> Bottom of tank to Grade*.................... �Z <br /> 22. Thermal-Sensor reading after circulation _12yOZ .l9-(nC IF <br /> Add 30"for 4"L ................. 3 _^ Mads Nearest <br /> Add 24"for 3"L or air sed....... " 23. Digits per°F in range of expected change -'3Z O <br /> Total tubing to assemble Approximate ........ �d.r�� " digits <br /> 20. EXTENSION HOSE SETTING 24. x m n o 0/bdk? _ (oe.?G 99S yz gallons <br /> Tank top to grade,.................................. �/ 3 rr total quantity in coefficient of expansion for volume change in this tank <br /> full tank(16 or 17) involved product per IF <br /> Extend hose on suction tube 6"or more // ^ e� <br /> below tank top ........... �8�7 _" 25. 6.On Co'/2 tel-/Z- <br /> volume change per°F This is <br /> 24 <br /> *If Fill pipe extends above grade,use too of till. ( ) Digit.per°F in teat Volume change per digit. teat <br /> Range(23) Compute to 4 decimal places. factor(a) <br /> 25. 30. HYDROSTATIC 31. 38.nfTyOLU 39. <br /> LOG OF TEST PROCEDURES PRESSURE VOLUME MEASUREMENTS(D 34' TEMPERATURE COMPENSAIION CHANGES ACCUMULATED <br /> CONTROL RECORD TO All GAL. USE FACTOR bl EACH READING CHANGE <br /> 27. 28. <br /> 29. Shndpipe level 32. 35 36. 31. Tool gnF Record details of setting up Reading In Inches Pmdun in . <br /> and running test.(Use full ChangeComputation Product Com Adjustment At Nigh Level roved <br /> _ Graduafa Replaced I—T P TOM End Called. <br /> Ma. Thermal Nigher+ (c) . (a)= Volume Minus <br /> Ila( length Of line if needed.) Beginning brei to — Smsof Lower— Expansion+ Expansion(r)or At Lee Lrrd fanned, <br /> of whish Brion Altar Product Ruling RI Cmumlim— Conloclmo I 1 Chan..per Near <br /> (24 As Reading Rumnd Reading Reading Remmdd(+) m73IV1—N37PI <br /> NEPAL mderul <br />
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