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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 />5. PIPING SUMP TESTING <br />Page of <br />Test Method Developed By: ❑ Sump Manufacturer Rf idustry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum -_-1Ty_drostatic <br />❑ Other (Specify) <br />Test Equipment Used _T <br />Equipment Resolution: <br />_.—....: �+tiv z�'r> .xs�., ,..,, ; < �:.<crhs w <br />' <br />Sump # M Sump # 2 <br />- ;.:,.c-si,r.,a,e <br />•er.v� ,-•..t-.. <br />Sump # 3 <br />Sump #` <br />Sump Diameter: <br />Sump Depth: <br />R Sump Material. <br />- L <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />/ Z <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />t <br />1q, <br />, , <br />-LL <br />, <br />Condition of sump prior to testing: <br />Portion of Sump Tested' <br />zd ✓ate T <br />Z <br />�� - <br />bal <br />� e <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />roduct and water)?* <br />01es ❑ No ❑ NA <br />4B'Yes ❑ No ❑ NA <br />erves ❑ No a NA <br />B'Tes ❑ No ❑ NA <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />shutdown?* <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No 0 NA <br />❑ Yes ❑ No [INA <br />Was fail-safe verified to be <br />op erational? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />/'� l� <br />v /►'► /i% <br />O <br />/ <br />Test Start Time: _ <br />Z <br />�� <br />Initial Reading (Rj): <br />Test End Time: <br />j / <br />'7� <br />� <br />SJ <br />Z4 57 <br />Final Reading (RF): <br />1 <br />Test Duration: <br />3&M (A) <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Pass ❑Fail <br />•B'fass ❑ Fail <br />Pass ❑ Fail <br />Test Result: <br />F8 ass . ❑ Fail . <br />Was sensor removed for testing? <br />es ❑ No ❑ NA <br />•E'Yes ❑ No ❑ NA <br />es ❑ No ❑ NA <br />�es ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />e Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />f?tes ❑ No n NA <br />$Yes ❑ No ❑ 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 gny 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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