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COMPLIANCE INFO 2009 - 2013
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 2009 - 2013
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Entry Properties
Last modified
6/11/2019 11:57:34 AM
Creation date
4/10/2019 3:28:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009 - 2013
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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SW% ZCB, Jaaturry.2002 <br />4. <br />Page _ _ of <br />Fest Method Developed By: Tank Manufacturer 0Industry Standard Professional Engpeer � <br />D ocher jS, 7ecify) i <br />Test Me6od Used: in Pressure *Vacuum = Hydrostatic -- i <br />(XIM (Specif}) <br />Tea FAmioment Used: Eavinment Resolution - <br />pls'Tank <br />_ 0 Yes It No <br />-- <br />Task # Z <br />11 Yes fNo <br />Tank # <br />-1 Yes 0'No <br />Tank # <br />=: Yes #\-,o <br />Exempt From Testing?' <br />Tank Capacity: <br />to 000 ,10,000 <br />Tank Material: <br />Tan:, Manufacturer: <br />__ .��.. �_. --•----�----�--� <br />i �' _ _--� <br />i Product Stored: <br />^ <br />..at yr <br />wt i rt `r, <br />-- <br />i <br />; vwb t <br />s Wail time between applying <br />pressure/vacuum/water and <br />starting test. <br />° Test Start Time: <br />r D <br />Initial Rea ing (RI) <br />} <br />0 Itf <br />�� <br />Itom+' f"' <br />A <br />Test End Tithe: <br />Final Reading (.Rf): <br />Test Duration: 2222 <br />fo" H <br />v--- <br />s <br />ter ° o „ <br />" <br />Ctmage in Reading { -R4): <br />zaWF6 Threshold or Criteria: <br />Was sensor removed for tasting? <br />__ <br />a^ <br />! Yes C No D NA <br />��s • <br />&Yes O No ❑ NA IfYj No 1-1 NA <br />1 ' n ' <br />des :_i No <br />V1'as season property replaced and <br />t verified functional after testing? <br />W Yes Q No a NA <br />A Yes No DNA <br />'Yes C No �' NA <br />Yes = No NA <br />Comments — (inchrde iatormation on repairs made prior to rearm&; and recornmeroded follow-up far %ailed rests,, <br />Secondary containment systems where the continuous monitoring automaticaLy monitors both the primary and secondaq <br />nnntainmmv cr self vt odxta m the are hvdrnstatically monitnnxl nr ranrlgr ennctarM ..on....,. o. a ..... A— <br />•- <br />
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