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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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EHD - Public
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Jan 03 07 04:19p Afrorda Test (204) 744-0116 p.8 <br />SWR(,'11, January 2002 Page of <br />9. SPILL/OVERFfLL CONTAINMENT BOXF5 <br />Facility is Not Equip Witlt SpilUOycr171I C ontainrmnt Boxes Ij _ <br />Spill/Overfill Containment Boxes arc Present, but were Not Tested 0 <br />'fest Mcthod Developed By: ❑ Spill Bucket Manufacturer Industry Standard ❑ Professional Engineer <br />❑ Other (Spcc?fy)— <br />Test Method Used: ❑ Pressure ❑ Vacuum E�,klydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: <br />U _. I\\-1, <br />Spill Box # <br />Spill Box # <br />Bucket Diamctcr: <br />Bucket Depth: <br />1 <br />Wait time between applying <br />pressure/vacuurn/water and <br />gtartin test: <br />`rest Start Time: <br />dtf C <br />Initial Reading (Rj): <br />?/ <br />Test End Time: <br />Final Reading (Rr,): <br />Test Duration: <br />Change in Reading (RF-Rr): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />,quipment Resolution; <br />Spill Box # y`7 Spill Box # <br />❑ Pass ❑ FaiI 1 D Pass ❑Fail <br />Comuienis — include in ormation ole re aiPs made for to 1OZO , Ona recommended ollaw-u or ailed tests <br />please direct any comments regarding this form to: <br />SWRCB UST Program, Attn: Scott Bacon <br />1001 "I" Street, Box 944212 <br />Sacramento, CA 95814 <br />Plrone: (416) 341-5873, Fax: (9 16) 341-5808 <br />c -mail: bacons a cwp.swrcb.ca-guv <br />
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