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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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EHD - Public
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SWRCB, January 2002 <br />S. FILL RISER CONTAINMENT SUMP TESTING <br />Page a of <br />Facility is Not Equipped With Fill Riser Containment Sums <br />Fill Riser Containment Sumps are Present, but were Not Tested ij <br />Test Method Developed By: _' Sump Manufacturer r; Industry Standardprofessional Engineer <br />Other (Spec) <br />Test Method Used: Pressure Vacuum ydrostatic <br />Other (Spec) <br />Test Equipment Used: Ce? A J p � ., "^Y Equipment Resolution: <br />Fill Sump #_1_ —1I <br />Fill Sump <br />Fill Sump #87 -5 <br />Fill Sump # cF —r7 <br />Sump Diameter: <br />Sump Depth: <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />z � , <br />l t <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />rJ <br />Z <br />Condition of sump prior to <br />testing: <br />t� <br />i] / V <br />Portion of Sump Tested <br />W4l�-yLc .L2b�' <br />w9f�v"l� t -3y" <br />60-?4e4k-034 <br />Surnp Material: <br />�' /. s 5 <br />/ trek r` :.k <br />�w r' s <br />.'� / is <br />Wait time between a 1 mg <br />pressure acuunAaftAnd <br />starting test: <br />/Uri%%nEu/ f, <br />/�r•7", <br />Test Start Time: <br />2 : J 5 <br />2 ,' 2- e-) <br />3 .' Lo <br />!/ •' YS <br />Initial Reading (111): <br />res rkc(!�a <br />f Grz-640 <br />l=t�5� �� <br />—�4 --/ Grpe! <br />Test End Time: <br />2: y5 <br />SO <br />3! 512� <br />Final Reading (RF): <br />ri GLc ..� <br />` C+�'? <br />L-i�rr4•40� <br />Test Duration: <br />Dr�i�' (5 <br />36rx�c.a �r a f1>30/'r�t•X <br />Change in Readin(RF-R,): <br />/tiGLG 4--�,(. <br />IUG'C. �,+•, ,w' <br />/-waG- &_ , <br />Pass/Fail Threshold or Criteria: <br />o a S 3a tirr <br />�•�� !d�;w- <br />, ,;y s ; ;::,3;.t . <br />_6, <br />Test Result: <br />- ass ] Fail <br />'Pass _ Failass <br />-'i 1' Fail <br />=, C <br />.Pass : Fail <br />Is there a sensor in the sump? <br />__ es C; No <br />es 11, No <br />es a No <br />� es C No <br />Does the sensor alarm when <br />either product or water is <br />p <br />detected? <br />jes No NA <br />? " No Ci NA <br />es _ No -, NA <br />f ' <br />�. <br />es - No '-- NA <br />Was sensor removed for testing?Yes <br />- No = NA <br />,;i\' es --No _..NA <br />Yes _ No 1 NA <br />J Y6s - No _NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />es -= No NA <br />'tYes `:. No - NA <br />/-- <br />: �'es No NA <br />;Yes No NA <br />Comments — (include information on repairs made prior to testing, and recommended follo)i,-ttp fo►• failed tests) <br />
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