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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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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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oil CA0 <br /> Name of Supplier.Owner or Dealer Address No,and Str°ens) City Sbta Date of Test <br /> >� 15. TANK TO TEST 16. CAPACITY �FFrqrom <br /> x ob <br /> By most accurate L+L Station Chart <br /> m ❑ Tank Manufacturer's Chart <br /> Nominal Capacityy. ', capacity chart available_�.� <br /> y O Identity by position yr Gallons Gallons r 1 <br /> LJ Company Engineering Data <br /> A • Is there doubt as to True Capacity ElChartssupplied with I l TI}P <br /> I� Brand Burand f and Greaa Sea Section"DETERMINING TANK CAPACITY" � Other <br /> 17. FILL-UP FOR TEST Stick Readings Total Gallons <br /> to'/e in. Gallons on.Reading <br /> Stick Water Botham _,� / <br /> before Fill•uy � 11 _ d/ Inventory <br /> to%In. Gallons r <br /> issall <br /> Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY <br /> Tank Diameter Product In full tank(up to fill pipe) <br /> N <br /> 40. <br /> Co m • 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK / �, — 9 VAPOR RECOVERY SYSTEM <br /> .00> <br /> .t J( ri�t ;; S . <br /> O O D See manual sections applicable.Cheek below and record procedure in log(26). Z Stage I <br /> 3NO Water in tank [jHighwater table in tank excavation j Lines)being tested with LVLLT 0 Stage II <br /> DO < <br /> m <br /> 0 <br /> ro 21. TEMPERATURENOLUME FACTOR (a)TO TEST THIS TANK <br /> 19. TANK MEASUREMENTS FOR <br /> _N TSTT ASSEMBLY Is Today Warmer?I I Colder?i J °F Product in Tank—°F Fill-up Product on Truck—°F Expected Change( + or ) <br /> DI Bottom of tank to Grade*""""""" <br /> •�3 ^ _J <br /> 22. Thermal-Sensor reading after circulation �-- �3 J .5 °F <br /> Add 30"for 4"L ....... - - digits Nearest <br /> Add 24"for 3"L or all seal ....... 23. Digits per°F in range of expected change -" / <br /> Total tubing to assemble Approximate ......., <br /> / „ i ri digits <br /> 20. EXTENSION HOSE SETTING 24. 60e�f x r' 9J SG = / 9X ganons <br /> total quantity In coefficient of expansion for volume change in this tank <br /> Tank top to grade•......................_......_.. " lull tank(16 or 17) involved product Per°F <br /> Emend hose on suction tuba W or more <br /> n <br /> below tank top .... ....... ..... _" 25. This is <br /> volume change per°F(24) Digits per°F In test Volume change per digit. test <br /> 'If Fill pipe extends above grade,use top of fill. Range(23) Compute to 4 decimal places. factor(a) <br /> 26. 30. HYDROSTATIC 31. 34. 38.NET VOLUME 39. <br /> LOG OF TEST PROCEDURES PRESSURE VOLUME MEASUREMENTS IV) TEMPERATURE COMPENSATION CHANGES ACCUMULATED <br /> CONTROL AFCOAO TO.001 GAL. USE FACTOR lel EACH READING CHANGE <br /> Tempentur° At Hi Larel resod <br /> 27. 29. 29. Stann Inches Graduate 32. 35. 36.change Cappelli.. M <br /> Product in PmdudAd ustmenl Tsbl Entl OelHaisn <br /> DATE Record details of setting UP Nudint Cradurte flepbtad I-) Thermal Higher+ c * . _ <br /> and running test.(Use full No. g 1 I I i volume Minus At Low Wei col <br /> Beginning Exist l° Sensor Lawn- Expmctio a Expanaicn I+)or pull <br /> TIME length of line it needed.) of which Before Aha Product Heading (q Contraction- Contraction 1-) dhme Iw Now <br /> (24 le.) Heading Battered Reading Reading Race...ad l*) d33(V)-#3717) (KIN and") <br />
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