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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 3002 <br />4. TANK ANNiTLAR TF.S9r4NG <br />Page of <br />Test.Method Developed By: <br />0 Tank Manufacturer U4ndustry Standard :1 Professional <br />0 Other (Specify) <br />Engineer <br />Test Method Used: <br />0 Pressure <br />0 Other (Specify) <br />Vacmam <br />0 Hydrostatic <br />Test FAp ipment Used: <br />is Tank. E=npt From Testing?' <br />auk #r +aymw <br />0 Yes o <br /># <br />0 Yes <br />EqWpment Resolution: <br />Pink# xc, Tank # <br />0 Yes o C Yes . o <br />Tank qty: <br />/ O a <br />v a <br />d 0 0 <br />Task Material: <br />Tank Marmrfacrurer: <br />(A <br />ri <br />(A <br />Product Stored: <br />S <br />/(1 Q s u 4,ot✓ <br />g e u, 4"T <br />12,-4-t G <br />Wait time between applying <br />pressor um/water and <br />starting test: <br />'tel � 4 <br />/o� /lil f 4 <br />Test Start Ttme: <br />02 <br />o q SD <br />® o'S <br />ZP <br />laifW Reading (R): <br />/ " <br />/ D " ff <br />1,2 ~ <br />,5) eo�, f?� <br />Test End Time: <br />12 <br />D <br />! L <br />2- D <br />Final Reading <br />ff <br />Test Duration: <br />ChwW in Reading (RF-Itt): <br />D <br />d <br />PuwFati Threshold or Criteria <br />p �p <br />p! �/d <br />✓ /d <br />P ' r0 <br />. <br />Was sensor removed for testing? <br />0 No 0 NA <br />94'es 0 -No DNA <br />&'Yes DN. 0-14A <br />m ❑ No 0 NA <br />Was sensor properly replaced and <br />verified fvnctionai ager ? <br />0 No 0 NA <br />m C No [INA <br />F. fes ❑ No 0 NA <br />es ❑ No 0 NA <br />Comments — (r►rclude nsfanna m on repairs made prior to tem , and recornmerrded fol�.fbr failed tests) <br />1 Secondary containment systems where the contmuous monitoring automatically monitors both the primary and secondary <br />comainment, st ch as systems that, &e -hydrostatically monitored or under constant vacuum, are exempt from periodic <br />
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