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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
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FilePath
\MIGRATIONS\J\JACK TONE\13475\PR0502118\COMPLIANCE INFO.PDF
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EHD - Public
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of L eo <br /> sum.of Supmx.Owmr x O w Addiers No.and Sheet s) �O�/• <br /> Clry safe / <br /> D,ro of Test <br /> -------------- <br /> 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From <br /> _ 401Le) r�i �, OO� 5 Slalbn Char <br /> Identify by poaltbn Nominal Capacity ❑ Tank Manufacture,i Chan <br /> Gslwne <br /> ❑ Company Engineering Dela • <br /> Brand and Grade By meal eccerese ❑ Chute supplied with <br /> cepacily Chan overlaid. ❑ Other <br /> 17. FILL-UP FOR TEST Galwna <br /> (� let Gallons <br /> Stick Wale,Bosom F(/6 Q �r,. Deake, <br /> beloeta.Reading <br /> ro Fill-up a in. / <br /> w%' Oalwns Tank DNmNen w. Inventory <br /> 16. SPECIAL CONDITIONS AND PROCEDURES TO TEST THI1- <br /> Four <br /> ❑Water In tank ❑ Unebl befog learod with LVLLT rf/ Ly�-- <br /> Sae manual easements epplicable.Check bolow and record JC d�ly <br /> procedure in sup 12>f. ❑Hipe water table in tank excavation <br /> lbs maximum allowable teat pressure loisair saleis. r� <br /> pound issue does M1 apply to doueleweued tenke. 19. TANK MEASUREMENTS FOR nwrer mM to grte 2s <br /> Complete section below: TSTT ASSEMBLY j` <br /> Header of lank to grade•............................ n 21. VAPOR RECOVERY SYSTEM �slage I �§sage II <br /> I <br /> Add 30"ror'T'probe eeaY........................... 30 In. <br /> 1. 1.four Pound role required? yq ❑ No � 24b. COEFFICIENT OF EXPANSION <br /> ,elle tubing waa.xnde—approximat6............. in RECIPROCAL METHOD <br /> 2.Hauled to 12"mark from bottom fR 20. EXTENSION HOSE SETTING Type of product ..._ ............. <br /> ....... <br /> I{ ............... <br /> Tank lop l0 grade'.................................. In yrydrpmeler EmPIPYed.......... <br /> ........................ <br /> 3. pressure at bosom of I k Extend laen e <br /> se uchfuels S"n fua mars Temperature In Tank <br /> H <br /> PS.1. <br /> below lank top.......................... In. After Circulation....._................................. J�,�•F <br /> 4. Pressure at top of tank P'S I 'It Fill pipe extend.above grade,use top of IIII. Temperature of Semple ................................. J7 <br /> F <br /> 22. Thermal-Sensor reeding after droulatpn Difference PL).... � Q <br /> dgds ..................................... •F <br /> Depth of burtl In. &2 -& <br /> W/ ��. <br /> - �/ °F Observed Aisereffeen .P.I.Gravity ....................... <br /> 23. Digits Pur°F In range of expected change <br /> Tank di.. Reciprocal ��n <br /> w. digits Pepe N <br /> COEFFICIENT OF EXPANSION (Complete after circulation) - rJ 9� 8 ,� <br /> 24a. Cerro ed A P.I.Guvily Total quantity In weiprocel Volume ahnpe In <br /> Wxb lade in. lull lank 116 or 12) <br /> Observed A.PI.Gravity........................ 1Ma bank pr,IF <br /> NOTES: <br /> Transfer to lino 2da. <br /> Hydrometer employed........ .._..... H <br /> Observed Sample Tempeutur /. ... °F 24c. FOR TESTING WITH WATE see Tell C 6 D <br /> Contacted A.P.I.Gravity <br /> @ 6g'F,From Table A....... _...... Went,Temperature alter Cir Ion <br /> Table L................... . <br /> Coefficient of Expansion IF <br /> The above calculation.are to be used for it,soil conditions to for Involved Product Coefficient of later <br /> establlsha PositivepmssWead...age,orwhenuaingfhefourpound From Table Table ................................................ <br /> rule to compensate Ifo the prwenp of W burlap water In the lank Transfer COE to lune 256. <br /> area. Added W,I.claml ❑yea ❑No Transfer COE to Line 2% <br /> Refer to N.F.P.A. 3G Sedlop 2.12.4 and 11.2 and the lank 25. (a) AjZA _ (c1— _ <br /> manufacturer regarding allowable systebinational.t"tbinational. Teel quantity in ffigallons <br /> Nil lank It ex 1Tl Coecient of experience, _ <br /> r Volume Mngel�n ei <br /> Involved product Per•F <br /> 26. lel a�.9��589� 3r'J . <br /> Volume Chep per•F 125 w 2!) 00"Far IF w road Volume conga�911 This Ia <br /> All(23) r1rmpul.In 4 decimel Place, teal <br /> factor Int <br />
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