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COMPLIANCE INFO_1985-2007
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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PR0231547
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COMPLIANCE INFO_1985-2007
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Last modified
3/8/2023 2:12:37 PM
Creation date
6/23/2020 6:49:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-2007
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231547_13850 N DE VRIES_1985-2007.tif
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EHD - Public
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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />0 Page I of <br />Test Method Developed By: ❑ Tank Manufacturer -Errndustry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure vacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: <br />Equipment Resolution: <br />s" ..; i :.st4Ze <br />Tank # Tank # <br />Tank # Tank # <br />Is Tank Exempt From Testing?' <br />❑ Yes Edo <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Tank Capacity: <br />L) <br />Tank Material: <br />Tank Manufacturer: <br />X <br />Product Stored: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />d <br />Test Start Time: <br />12 -,Id <br />Initial Reading (RI): <br />-10 WL-' <br />Test End Time: <br />1-3,40 <br />Final Reading (RF): <br />.- ( O <br />Test Duration: <br />Change in Reading (RF -Rt): <br />Pass/Fail Threshold or Criteria: <br />TestResWt. A <br />"ass Q Fail ` <br />Q, Pass : -❑ Fail <br />Q Pass'`' ❑ Fail <br />Q Pass :. 0 Fail <br />Was sensor removed for testing? <br />E" es ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />0 Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />�es ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑Yes ❑ No C1 NA <br />Comments - (include it formation on repairs made prior to testing and recommended follativ-up for failed tests) <br />1 Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic <br />
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