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COMPLIANCE INFO 2001-2010
Environmental Health - Public
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PR0231906
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COMPLIANCE INFO 2001-2010
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Last modified
9/8/2021 1:08:13 PM
Creation date
11/5/2018 3:42:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2010
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\420\PR0231906\COMPLIANCE INFO 2001-2010.PDF
QuestysFileName
COMPLIANCE INFO 2001-2010
QuestysRecordDate
5/19/2017 11:33:18 PM
QuestysRecordID
3391364
QuestysRecordType
12
QuestysStateID
1
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EHD - Public
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SWRC$,, January 2002 0 0 <br />6. PIPING SLTW TESTING <br />Page A— of 81 <br />Test Method Developed By: 0 Sump Manufacturer o Industry Standard 'Professional Engineer <br />0 Other (Specify) <br />Test Method Used: 0 Pressure -E] Vacuum O -Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: Crf I --i.Lj -f 1 1 I_C,uj> L C L, f<,t A i re, I <br />Equipment Resolution: <br />V <br />Sump <br />SuSump# -2 <br />Sump # <br />Sump ft 17 <br />Sump Diameter: <br />/;?-I I <br />Sump Depth: <br />YY tf <br />Sump Material: <br />W". e. Aofe <br />124 14 3 5 <br />Height from Tank Top to Top of <br />5-1 <br />Highest Piping Penetration: <br />All <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />tI <br />Portion of Sump Tested' <br />404 Low C <br />13'r. <br />r,' eel 't", le <br />Does turbine shut down when <br />sump sensor detects�iquid (both <br />XYes 0 No DNA <br />ZYes ONO DNA <br />0 No 0 NA <br />XYes ONO DNA <br />product and water)? <br />(�ies <br />Turbine shutdown response time <br />0+ /1-e <br />1,1 <br />',,V! "Lf 1U_l <br />Is system programmed for fail-safe <br />P,yes ONO DNA)9,Yes <br />ONO DNA <br />�qYes El No DNA <br />b -Yes 0 No [INA <br />shutdown?* <br />Was fail-safe verified to be <br />. <br />0 Yes PNo 0 NA <br />0 Yes ONO DNA <br />E� <br />0 Yes No DNA <br />OYes ,,"o [INA <br />operational? <br />I <br />Wait time between applying <br />pressure/vacuum(water 6d starting <br />1. <br />test: <br />Test Start Time: <br />? 3 <br />f, <br />Initial Reading (Ri): <br />Y c <br />Test End Time: <br />1 5 - <br />Final Reading (RF): <br />2 <br />1 <br />Test Duration: <br />Change in Reading (RP -Rt): <br />"jo C <br />Pass/Fail Threshold or Criteria: <br />On 1 30 x1. <br />r <br />4 7.11 <br />4141 11 <br />Test Result: <br />u Pass 0 Fail <br />'fl Pass 0 Fail <br />0 Pass 11 Fail <br />0' Pass 0 Fail <br />Was sensor removed for testing? <br />Q Yes 0 No 0 NA <br />OYes ONO DNA <br />DYes ONO DNA <br />pVes ONO [INA <br />Was sensor properly replaced and <br />0 Yes 0 No 0 NA <br />-,Q Yes 0 No 0 NA <br />Q Yes El No 0 NA <br />OYes ONO DNA <br />verified functional after testinL— <br />Comments — (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) <br />' if the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (*)is "NO" or "NA", the entire sump must be tested. (See SWRCBLG-160) <br />
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