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COMPLIANCE INFO_2009-2015
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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PR0232519
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COMPLIANCE INFO_2009-2015
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Last modified
1/3/2024 2:00:21 PM
Creation date
6/3/2020 9:57:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2015
RECORD_ID
PR0232519
PE
2361
FACILITY_ID
FA0000483
FACILITY_NAME
BILLS 76
STREET_NUMBER
633
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04321055
CURRENT_STATUS
01
SITE_LOCATION
633 E VICTOR RD STE A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232519_633 E VICTOR_2009-2015.tif
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EHD - Public
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Aug 26 10 07:16a Elite IV Contactors 12094616342 <br />- SWRCB, January 2002 <br />11 �� 7• UNDER -DISPENSER C4NTAI2V <br />W_.. __ eyt Wethod Develo MENT (LDC <br />I>ee By' UDC Manufacturer ) TES <br />"i ! 1hdi151iy'Siandard _ _.. <br />est -Method Used: 0 Other (Specify) <br />O Pressure <br />D Other (Specify) O Vacuum <br />p.2 <br />Page of <br />ssional EnggMeer <br />4.utPmentUsed:... - <br />Equipment Resolution: <br />_UDC. Manufac F1DC # 5 UDC # <br />UDC Material: <br />t✓© UDC # UDC # <br />Mr r,__,L. .4 Ji*/ <br />11 =Pt from UDC Bono- m Tap <br />of Highest Pi ins Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical .penetration: <br />Condition of UDC prior to <br />Does turbine shut down when <br />LTDC.Sensordetects liquid (both <br />roduct and water)?' <br />Turbine shutdown nse time <br />Is s'stmn Programmed for fail- <br />safe shutdown?` <br />Was fail-safe verified to be <br />operational?* <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />Test Start Time: <br />Initial Reading(&)• <br />Test End Time: <br />Ftnal.ReadinL tRzl <br />..1 <br />es 0 No O ALA —_ <br />Dyes D No DNA I G Yes O No . ONA <br />O Yes O *io IJ IV.A <br />O No . ❑ NA Dyes ONo O NA 0 Yes O No 0 NA <br />❑Yes O No 0 NA <br />0 No C NA O Yes 0 No 0 NA 0 Yes 0 No DNA <br />0 Yes 0 No 0 NA <br />A <br />PIT <br />M <br />ra bwraus s nresnota or untena: <br />- - -' <br />v <br />Was sensor removed for testing? <br />.._-...... .. ...._..oma., <br />'O <br />es No DNA 0 Yes O No <br />DNA 0 Yes 0 No <br />0 NA 0 Yes 0 No DNA <br />Was sensor properly replaced and <br />es ONO DNA <br />verified functional after testing? <br />0 Yes O No <br />DNA Dyes 0 No <br />DNA 0 Yes 0 No 0 NA <br />Comments — (include information on repairs made prior to testing arta recommended follow-upfor <br />failed tests) <br />If the entire depth of the UDC is not tested, specify how much was tested. If the answer to My of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See, SWRCB LG -160) <br />
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