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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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SWRCB, January 2002 <br />Test Method Developed By: <br />Test Method Used: <br />Test Equipment Used. C <br />E <br />6. PIO?ING <br />3 Sump Manufacturer <br />0 Other (Specify) <br />0 Pressure <br />0 Other (Specify) <br />11 <br />0 Industry Standard <br />D Vacuum <br />Page� of <br />Engineer <br />Resolution: `o a7,g- <br />Sump #_t <br />-Sump Diameter. -L'.t , <br />Sump #Z., <br />I <br />Sump# <br />t-( <br />(Sump # <br />-Sump Depth: It?", <br />3G t, <br />-Sump M d t"0 <br />;;1'qAV4(&4'S <br />Height from Tank Top to Top of Vt"AJ. 2otk <br />Hi est Piping Penetration: _ p,/oA,,t,4_ W - i <br />V'64'..r P U L <br />bra &LJ to,, <br />P7 Lej L, <br />Pro <br />Height from Tank Top to Lowest IL <br />-Electrical Penetration: <br />(311 <br />Condition of sump prior to testing: r <br />Portion of Sump Tested' <br />Does turbine shut down when <br />sump sensor detects liquid (both 5(Yes 0 No Cl NA <br />pERquct and water)?* <br />XVes 0 No C NA <br />C) es CNTo DNA <br />0 Yes N6/ 0 NA <br />Turbine shutdown response time N <br />Is system progranimed for fail-safe <br />shutdown?* 01kes 0 No 0 NA <br />es C3 No 0 NA <br />XYes 0 No G NA <br />C1 Yes 40 DNA <br />Was fail-safe verified to be 0 Yes 11 NA <br />2pMdonal?' /S&O <br />0 Yes C)4io Cl NA <br />0 Yes DNA <br />0 Yes DNA <br />40 <br />Wait timebetween lying <br />test: <br />u,Ga')'17x <br />t4 4 - <br />Test Start Time: <br />0 <br />Initial Reading (Rr : F C"tto_ <br />Fev$4 CWC4 <br />Test End Time: 0- . <br />8 " ro <br />Final Reading (RF): Fry 4. <br />Fwf <br />4- <br />Test Duration: .30 P-7 in <br />30 r-1 <br />Change in Reading (RF-Rj): 00 <br />IJ 0 <br />PasstFail Threshold or Criteria: .065, <br />Test Result: LP�-Pass 0 Fail <br />194aw 0 Fail <br />\O -Pass 0 Fail <br />/0 Pass 0 it <br />Was sensor removed for testing? aes L-3 No 0 NA <br />ees 0 No 0 Na <br />_;��es 0 No 0 NA <br />Yes 0 No 0 <br />Was sensor property replaced and —N <br />verified functional after testing? 0 No 0 NA <br />A -es 0 N DNA <br />;teYes 0 No 0 NA <br />13 Yes 0 No 0 Ak <br />C 0 M M en tS - (in ctude inform arion on re airs made prior to Isatin , and recommended Wow- yforfailed tests2 <br />ouA- Sw-&-tj e4ou -G-""s a6+4'D" r_!:KA of 5YI, <br />& 003 <br />__V-1vor 4,o <br />1 1-1. A I rte ,0 !. 11, �A <br />4AJ C(rw e14 AQWYZeleGvvm <br />hawmv T< a, 0 L lz-e crxp(vi 7/ 1 k lion & Ae,;WW-w_, <br />If the entire depth of the sump is not tested, specify how much was tested. If the answer to M of the questions indicated with an <br />asterisk M is'*NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />L00016000 e YVA LT:60 OTOZ/ZO/LO <br />
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