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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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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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SWRCB, January 2002 <br />Test Method Developed By: <br />Test Method Used: <br />Test Equipment Used: �a <br />Sump Diameter: <br />Sump Depth: <br />Sump Material. <br />Height from Tank Top to Z <br />Highest PiDinn Penetrafinn- <br />6 PIPING SiJW TMTWG <br />TSump Manufacturer i._(Industry Standard <br />0 Other (Spec) <br />0 Pressure 0 Vacuum <br />0 Other (Specifv) <br />Page of <br />Professional Engineer <br />Equipment Resolution: <br />NO <br /># Sump # Z: gmap # - i &mp # if <br />5) <br />Jul,! <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />, <br />3 % f� ` <br />Condition of sump prior to testing: <br />Portion of Sump Tested' <br />13 <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />=YeasO <br />0 Yes 0 No C6a <br />0 Yes 0 No t NA <br />0 Yes ONO ONA <br />product and water)?* <br />Turbine shutdown response time <br />--- <br />Is system programmed for fail-safe <br />IO <br />shutdown'? <br />Yes n No 9NA <br />0 Yes 0 No E NA <br />❑ Yes C No NA <br />0 Yes ❑ No fe?! NA <br />Was fail-safe verified to be <br />operational?* <br />0 Yes ❑ No Q NA <br />0 Yes 0 No NA <br />�t� <br />0 Yes 0 No VIA <br />0 Yes 0 No Z NA <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />= yy� <br />yy� <br />_ 'Yin <br />157 - <br />-test: <br />ITest Start Time; <br />D . <br />Initial Reading (Rr}: <br />33 J '/ <br />'33 '[ <br />j " <br />3 i/ It <br />Test End Tune: <br />Final Reading (RO:33N <br />33/ <br />33° t <br />33 %q t <br />Test Duration: <br />Q_ <br />30- <br />1Change in Reading (R -Rt . <br />Pass/Fail Threshold or Criteria <br />.ers <br />aFat <br />23 -F ESA <br />Was sensor removed for testing? <br />21Yes D No DNA <br />QYes D No DNA: <br />D No 0 NA <br />.Yes u Na ❑ NA � <br />Was sensor properly replaced and <br />ves�iftPti fi�nrlir�rml ai%r taeti...�? <br />eyes 0 No ❑ NA <br />� Yes ONO DNA <br />EMS ONO O NA . <br />9Y� C No 0 NA <br />Comments - (include information on repairs made prior to testing, and recon mended follow-up for,, ailed tests) <br />' Ifthe entire depth ofthe snap is not tasted, sped how much was teed. N*c amwer to any of the Questions indicated with an <br />
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