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COMPLIANCE INFO 2009 - 2013
Environmental Health - Public
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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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EHD - Public
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SWRCB, January 2002 <br />Test Method Devela 6. PIPIlVG <br />ped BySump Manufacturer <br />Test Method Used: ❑ Other 6) <br />0 Pressure <br />0 Other (Specs <br />Test Equipment <br />gyp# <br />1-07 <br />Diameter: ^� / <br />Page, of . <br />D"InduWy Standard D Professional Engineer• <br />D vacuum -- -- -• <br />pinesu Resolution <br />ip # Sump # <br />Sump Material: <br />v <br />i <br />/r <br />Height from Tank Top to Top of <br />001, <br />M t Pi - Penetration: <br />Height from Tank Top to Lowest <br />I <br />�'s <br />w� !� <br />% It <br />Electrical Penetration: <br />3 f W / <br />t/ li <br />11 <br />Condition of sum p prior to testing: <br />�1 <br />/t <br />Portion of Sump Tested! <br />r <br />Does turbine shat down when <br />s <br />,� <br />3 <br />3 '/73 <br />// <br />sump sensor detects liquid (both <br />roduct and water f <br />0 Yes ❑ No NA <br />❑Yes ❑ No [jNA <br />0 Yes 0 No �l NA <br />d Yes 0 No ONA <br />Turbine shutdown response time <br />1, <br />Is syr pied for fail-safe <br />shutdown?` <br />Was fail-safe verified to be <br />D Yea D No IRNA <br />0 Yes 0 No ANA <br />Dyes ONO /NA <br />Oyes D No ,rd NA <br />o •oral?' <br />Wait time between applying <br />0 Yes 0 No YNA <br />0 Yes D No VNA <br />0 Yes 0 No ^A <br />0 Yes D No A NA <br />pressure/vacuum/water and starting <br />test:VVI <br />_ <br />S — "� <br />Test Start Time: <br />, <br />tribal Reading (R;): <br />Test <br />End Time: <br />Final Reading (RF): <br />t t / <br />�t <br />"/0 <br />Test Duration: <br />Yi�l !►'i ;� ' <br />30- <br />®- Yrl . <br />3 ® - <br />Change in Reading (RrRt)- <br />.®- <br />$ <br />Pass/Fail Threshold or Criteria: <br />4- <br />Was sensor removed for �% <br />�• 9 Yes D No DNA BY. D No DNA Eyes 0 No 0 NA 2Yes D No 0 NA <br />Was sensor properly replaced and <br />verified fimctional after testing? O Yes 0 No DNA ®Yes 0 No 0 NA Zyes 0 No 0 NA &Yes 0 No 0 NA <br />Comments — (include ' orma7ion on repmrs made pnor to testing; and recommended of - failed tests) <br />' If the entire depth of the sump is not tested, Specify how much was tested. If the answer to AM of the <br />asterisk (*) is "No" or "NA ", the entire sump must be tested. (See SWRCB LG -160) questions indicated with an <br />
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