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COMPLIANCE INFO 2003 - 2008
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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PR0231706
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COMPLIANCE INFO 2003 - 2008
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Last modified
6/11/2019 11:42:03 AM
Creation date
4/10/2019 2:41:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2008
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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SWRCB, January 2002 <br />6. PIPING SUMP TESTING <br />Page � of / <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard rofessional Engdineer <br />X" <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum Xgydrostatic <br />❑ Other (Sped) <br />Test Equipment Used: /'',y0.�/�,�,,�//�-I, e';,..-� ,1 �,•W .,3.,,K Equipment Resolution: , d�> <br />Sump#_--�1 <br />SUMP #2-2 /' r <br />Sump# 3'8-7S <br />Same#Sump <br />Diameter: <br />Z„ <br />Sump Depth: <br />S�-f " <br />S <br />i <br />Sump Material: <br />/ ,. / r a 5 <br />/a r y /mss S <br />,!, <br />r) /01 sS <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />r i <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />- <br />Portion of Sum Tested <br />a d -e r lr,A¢ L33 ,i <br />W g4-e.V L.c&4l3?` <br />L0 A4 --Y AL3Y <br />-v4,,Y <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />es ❑ No ❑ NA <br />�d'Yes ❑ No ❑ NA <br />A ❑ No ❑ NA <br />es ❑ No ❑ NA <br />-product and water)?* <br />/� <br />Turbine shutdown response time <br />.542 t , <br />3 t , <br />3 �e [ , <br />3 <br />Is system programmed for fail-safe <br />shutdown?* <br />es ❑ No ❑ NA <br />es ❑ No ❑ NA <br />es ❑ No ❑ NA <br />AYes ❑ No ❑ NA <br />Was fail-safe verified to be <br />es ❑ No ❑ NA <br />`Yes <br />-operational?* <br />'- <br />❑ No ❑ NA <br />/Yes ❑ No ❑ NA <br />es ❑ No ❑ NA <br />Wait time between g <br />pressure/vacuu Ovate d starting <br />test: <br />/0 r-,r� "IA,V ! •/ S <br />/DT? <br />11{ i <br />16 <br />Test Start Time: <br />/ 2.' 3S <br />/ : 2-5 <br />/4) c/5 <br />Ile) <br />Initial Reading (Ri): <br />ICiy t� Ci�i. <br />}div 54 CyrW �.(Q <br />�/i f-+�CrcG Ca <br />Test End Time: <br />f ' d 5 <br />�.S <br />�. , .5 <br />/z.: 6 <br />Final Reading (RF). <br />i .�.✓ <br />e,> <br />f. r, <br />Test Duration: <br />5 L) �; u: -...o J> <br />o t <br />3D r .f =. <br />' <br />Change in Reading (RF -R,): <br />/,.j a G• - • , <br />r/� G�" <br />��" ' l.: -. . Y <br />roc - l•. <br />Pass/Fail Threshold or Criteria: <br />, DO5 .�Q T'%'. - <br />, GD S` ?©��* <br />[n.., i ?� <br />��5../� •-_ <br />Test Result: <br />Ga -Pass ❑Fail <br />Pass ❑ Fail <br />jxl�Pass 11 Fail <br />Pass ❑ Fail <br />Was sensor removed for testing? <br />\DYes ❑ No ❑ NAS <br />❑ No ❑ NA'Yes <br />❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />''es ❑ No ❑ NA <br />:f Yes '�' No ❑ NA <br />E'ges 1 . No ❑ NA <br />, "� Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing and recommended ollow-up for failed tests) <br />' If the entire depth of the sump is not tested, specify how much was tested. If the answer to aM of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />
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