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COMPLIANCE INFO 1995 - 2002
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO 1995 - 2002
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Last modified
6/11/2019 11:14:19 AM
Creation date
4/10/2019 2:22:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995 - 2002
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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rage L ui <br /> SWRCB, MAY 2002 <br /> 4. TANK ANNULAR TESTING professional Engineer <br /> Test Method Developed by: <br /> Tank Manufacturer Industry Standard Lj <br /> C3 Other(Specify) Vacuum Hydrostatic <br /> � <br /> Test Method Developed by: C3 Pressure <br /> Other S ecc <br /> Equipment Resolution: <br /> Test Equipment Used: j/0CWIr"1 Z 'C-- <br /> Tank# / Tank# 2• <br /> TAnk#3 Tank# f/ <br /> � y� No C3 yes No <br /> Yes No 0 Yes No <br /> Wtimeb�etween <br /> pt From Testing?' <br /> ty: <br /> /D o <br /> 1 � <br /> al: I <br /> I , <br /> acturer: <br /> red: <br /> su. t'r t <br /> etween applying press re/ <br /> vacuum/water&starting test: <br /> 73 o e 7 vc� <br /> 900 •--� � "' <br /> Test Start Time: G Dip <br /> Initial Reading(R.): G•D/N N �G�/�M ir 4/ <br /> 3 � <br /> Test End Time: <br /> Final Reading(RF): /�7 �,�,yyf �6•"y� <br /> p.•r S <br /> Test Duration: d'd <br /> �O0 <br /> ( F-R) O.6ChangeRading Rn <br /> Pass/Fail Threshold or Criteria: �'G PASS FAIL PASS �] FAIL M pASS C3 FAIL <br /> TEST RESULT: PASS ❑ FAIL y� No C3 NA <br /> Was sensor removed for testing? Yes No NA <br /> yes No NA Yes(]No NA <br /> Yes No�NA YesNo�NA <br /> Was Sensor properly replaced& y� No NA Q <br /> verified functional after testing? Yes No NA <br /> Q Yes No(3 NA <br /> Was Sensor properly replaced& � 0 Z��� <br /> yes No NA Yes NO NA Q <br /> verified functional after testing? rA Yn No NA <br /> Comments—(include information on repairs madeprior to testing, and recommended follow-up for failed tests) <br /> nitors both <br /> he <br /> ry <br /> secondary <br /> in- <br /> Secondary <br /> containment systems where the continuous monitoring automatically vauump are exempttfromriperiodicdcontainment testing. <br /> ment, such as systems that are hydrostatically monitored or under co <br /> (California Code of Regulations,Title 23,Section 2637 (A)(6)) <br />
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