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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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S�VRCB, January 2002 <br />5. PIPING SUMP TESTING <br />Page _ of <br />Test Method Developed By-, 0 Sump Manufacturer [I Industry Standard 0 Professional Engineer <br />I I <br />0 Other (Specify) <br />Test Method Used: 0 Pressure 11 Vacuum 0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: <br />Sump # Sump # <br />Equipment Resolution: <br />Sump # <br />Sump <br />Sump Diameter: <br />Sump Depth: <br />Sump Material: <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />Portion of Sump Tested' <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />prod ct and water)*?* <br />L]Yes 0No DNA <br />OYes ONo DNA <br />OYes ONo [INA <br />0 Yes El No jr NA <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />shutdown?* <br />OYes DNo DNA <br />OYes ONo DNA <br />OYes 0 N DNA <br />0 Yes 0 No F_ NA <br />Was fail-safe verified to be <br />operational?' <br />DYes 0No DNA <br />OYes LINo DNA <br />CYes DNo DNA <br />0 Yes 0 No I NA <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />Test Start Time: <br />Initial Reading (It4): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -P4): <br />Pass/Fail Threshold or Criteria: <br />ass- <br />Fat., <br />ON Pass i 0 j Fail, <br />Was sensor removed for testing? <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />0 Yes 11 No DNA <br />El Yes 0 No 0 NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />0 Yes 11 No 0 NA <br />OYes ONTo DNA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No El NA <br />COMMentS — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />' If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />
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