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COMPLIANCE INFO 2002 - 2005
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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PR0231332
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COMPLIANCE INFO 2002 - 2005
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Entry Properties
Last modified
6/12/2019 2:07:54 PM
Creation date
12/4/2018 11:32:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2005
RECORD_ID
PR0231332
PE
2361
FACILITY_ID
FA0003961
FACILITY_NAME
LODI MUNI SERVICE CENTER
STREET_NUMBER
1331
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104050
CURRENT_STATUS
01
SITE_LOCATION
1331 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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Afforda-Te$t 11111 26515 N. Sacramento Blvd. Dynamic Back Pressure Test <br /> Thornton, California 95686 <br /> (209) 794-0102 (800)524-9087 FAX(209)794-0112 Static Pressure Decay Test <br /> Owner/Contractor/Eng: TEST DATE: l o Z—( o S USr (ST30) I I AST (ST38) <br /> SITE NAME: y oFGOD/ 44D PT Initial Test Com lianceTest AIR QUALITY AGENCY: <br /> Address: 13 55 35 4A Pc,D <br /> City: Ld D t C 2-V 1 TECHNICIAN NAME: Zane A. Nimmo <br /> // Present Not Present <br /> Phone: Z02 ) 33 'b 7L V Certification#012.0_ <br /> Contact: p(jEL TECH SIGNATURE: Permit or Facilt # N Y87 <br /> STATIC PRESSURE DECAY T DATA I Confirmation# D5 - <br /> #DISPENSERS DISPENSER Make: (14k kj k, NOZZLE Make: PV Valve Make: u 5 4 y <br /> # TOTAL NOZZLES Model: Model: Model. 0 0 S <br /> MANIFOLDED: Yes IN No BALANCE Fx I ASSIST = Assist Type: <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL Initial pressure before testing- �"we <br /> Product Grade 87' n e7 - 5 <br /> EQUIPMENT <br /> # Nozzles per Tank Z Z Decay: Blockage: <br /> Acnral Tank Capacity D O Oo Z Z /Z b52- Incline Manometer 1—T Incline Manometer l/ <br /> Gasoline Volume O Z6,078 M nehelic ua e Ma ehelic Guage 1 <br /> la (capacity minus volume �v2 95b 9 /7 Equipment Calibration Date: 612' Ds- <br /> Phase I System Types 2 t EVR Coaxial <br /> Initial Test Pressure (Inches Water) 2/0 Z• U Allowable Fill Time @ <br /> PSI 1 Minute (Inches water) <br /> � . �8 2 SCFM - <br /> PSI 2 Minutes 1 Time 1: (.0 <br /> PSI 3 Minutes Time 2: VI <br /> PSI @ 4 Minutes I .�rr� Time 3: <br /> ' Final Pressure 5 Minutes Qnches Water SO <br /> Allowable Final Pressure CARB �7 Liquid Removal Check, Dynamic Back <br /> Pressure (if due), and Parts & <br /> Pass / Fail Pass / Fail Pass / Fail Pass / Fail Pass Fail Repairs Are Listed on Back <br />
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