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COMPLIANCE INFO 2008 - 2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0506724
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COMPLIANCE INFO 2008 - 2015
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Entry Properties
Last modified
11/15/2023 10:12:19 AM
Creation date
11/8/2018 10:22:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008 - 2015
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\K\KETTLEMAN\1111\PR0506724\COMPLIANCE INFO 2008 - 2015.PDF
QuestysFileName
COMPLIANCE INFO 2008 - 2015
QuestysRecordDate
6/27/2018 4:14:35 PM
QuestysRecordID
3926585
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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S WRC B, January 2002 Page G- ofJ— <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: /,Tank Manufacturer Industry Standard Professional Engineer <br /> 'fest X.lethod I sed: -.: Pressure Vacuum : Hydrostatic <br /> Other (Speci/yl <br /> Test Equipment Used: r<.s{ 1, r r es � '%• •,> I artceasri �r,r ;e /(a , Equipment Resolution: -1 1 ..3 p I.( <br /> r , <br /> Tank# I- Tank# 2- t j Tank# Tank# <br /> Is Tank Exempt From Testing?' Yes ;No ❑ Yes Vo Yes",/ -- <br /> Tank Capacity: il� ; <br /> S ,�Tank Material: C ffTank Manufacturer: - C"Product Stored: 2PqIAl wire !)f+^'eE,Wait time between applying jpressure/v®cuunylwater andstartin test <br /> Test Start Time: [ L : <br /> Initial Reading(Rt): - (,� //'T_ —Id117- <br /> Test <br /> 1 -Test End Time: <br /> Final Reading(RO: _ n //.T <br /> Test Duration: <br /> Change in Reading(Rr-Ri): <br /> Pass/fail Threshold or Criteria: „)nlcic Irr�,lvks; <br /> Test Result: ass ❑ Fail K Pass ❑ Fail ❑;Pass ❑ Fail ❑ Pass ❑ Fail <br /> Was sensor removed for testing? i�Yes I--No G NA . Yes ❑No ❑NA Yes G No 17 NA C es ❑No ❑NA <br /> Was sensor properly replaced and j <br /> verified functional after testing? �'des C No i7 NA k Yes i7 No 7 NA 0 Yes No C NA Yes ❑No C N <br /> Comments -(include information on repairs made prior to testing and recommended ollow-up jorfailed tests) <br /> `tc , r,inn ,mt.unnu.:nl sy. 'uns +tihcrc the continuous nunlilorin,k uutnmaticall} monihms both the piim;u'� and aecnndary <br /> ,w.h ts 'I"a[ rn9 that arc huh-w.wlicnlly monitored urunder constaul vacuum. ;ire exempt liom periodic containment <br /> Ir;ainl;_ ;('ulilbrniu lode of Re�,ulutiun,, I ille'3, .Section 2637(a)(6)} <br />
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