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COMPLIANCE INFO 1994 - 2010
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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PR0231841
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COMPLIANCE INFO 1994 - 2010
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Last modified
7/12/2019 5:29:19 PM
Creation date
7/12/2019 2:17:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1994 - 2010
RECORD_ID
PR0231841
PE
2361
FACILITY_ID
FA0000556
FACILITY_NAME
CHEROKEE LANE SERVICE STATION*
STREET_NUMBER
900
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742007
CURRENT_STATUS
01
SITE_LOCATION
900 S CHEROKEE LN
P_LOCATION
02
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 />8. FILL RISER CONTAINMENT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sum <br />Fill Riser Containment Sumps are Present, but were Not Tested `C <br />t est meLnou ueveiopea tsy: I Sump Manufacturer C Industry Standard <br />C Other (Speck) <br />Test Method Used: <br />Pressure <br />= Other (Spec) <br />C Vacuum <br />Page _ 7 of `a <br />Professional Engineer <br />Hydrostatic <br />Test Equipment Used: <br />IEquipment Resolution: <br />Fill Sum ## Fill Sum # <br />Fill Sum ff Fill Sum # <br />Sum Diameter: <br />Sump Depth: <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />-1 <br />Height from Tank Top to Lowest <br />Electrical Penetration - <br />Condition of sump prior to <br />testing: <br />Portion of Sump Tested <br />Sump Material: <br />Wait time between applying <br />pressure/vacuum/water and <br />-starting test: <br />Test Start Time: <br />Initial Reading (R,): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Chane in Reading RF -R,): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Is there a sensor in tete sump? <br />Does the sensor alarm when <br />either product or'water is <br />detected? <br />❑ Pass ❑ Fail <br />❑ Yes G No <br />❑ Yes ❑ No ❑ NA <br />❑ Pass ❑ Fail <br />❑ Yes ❑ No <br />❑ Yes ❑ No ❑ NA <br />❑ Pass ❑ Fail <br />11 Yes ❑ No <br />❑ Yes ❑ No C NA <br />0 Pass ❑ Fail <br />❑ Yes ❑ No <br />❑ Yes :i No ❑ NA <br />Was sensor removed for testing? <br />Was sensor property replaced and <br />verified functional after testing? <br />❑ Yes C No <br />❑ Yes O No <br />❑ NA <br />❑ NA <br />❑ Yes u No ❑ NA <br />❑ Yes C No ❑ NA <br />❑ Yes G No C NA <br />❑ Yes G No ❑ NA <br />❑ Yes C No <br />C Yes C No <br />C NA <br />— <br />CNA <br />Comments — (include information on repairs made <br />prior to testing, and recommendedJollow-up for failed tests) <br />
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