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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 />5. PIPING SUMP TR9,TIN(:' <br />Page of <br />Test Method Developed By: Sump Manufacturer C dustry Standard C Professional Engineer <br />D Other (Specify) <br />Test Method Used: C Pressure ❑ Vacuum ydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: <br />Sump # / Sump # 3 <br />Sump Diameter. <br />4;7 <br />Equipment Resohition: <br />Sump # ,J Sump # <br />Sip Depth: <br />Sarnp Material: <br />G <br />Height from Tank Top to Top of <br />Piping Penetration: <br />Height from Tank Top to Lzwest <br />Penetration: <br />Z j^ <br />_ IV <br />—s <br />C 100vElectrical <br />V <br />Condition of sump prior to testing: <br />v <br />Portion of Sump Tested' <br />3 <br />Does turbine shut down when // <br />sump sensor detects liquid (bobs ❑ Yes D No e NA <br />Mxhia and water)? <br />� <br />D Yes ❑ No LINA <br />_/ <br />3 -Yes u No ff NA <br />11 Yes C No 1-?' <br />Turbine sbutdown response time <br />Is rfstem progarnmed fail - <br />shutdown?• ❑Yes C No NA <br />C Yes DNo <br />C Yes L -3 -No I. <br />G Yes D No <br />Was fadaverified to be <br />operational? " * C Yes C No +U NA <br />- <br />D Yes 0 N NA <br />D Yes DNo NA <br />❑ Yes C No NA <br />Wait time between applying <br />pressurelvaauunmhvater and stagy C� �, , ,� <br />test: <br />d�,� <br />�d� <br />1d <br />Test Start Time: p, <br />4 <br />Initial Reading (Rg): <br />'�- <br />Test End Time: /0' <br />Final Reading (R£): <br />Test Duration: <br />Change in Reading (RF-Rj)= <br />--�— <br />. <br />Pass/Fail Threshold or Criteria <br />Was sensor removed for testing? Yes 0 No D NA <br />es D No CNA <br />es D Aio CNA <br />es D No DNA <br />Was sensor properly replaced and Ries C No D NA <br />verified functional after t <br />es ONo DNA <br />es D No DNA <br />es Ci No DNA <br />Commeuts — r=hide infmmWon on mpiaws made prior to testing, and recanrm m*d follow-up for failed tests) <br />' If the entire depth of the sump is not tested, specify how much was tested. If the answer to anv 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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