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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2300 - Underground Storage Tank Program
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PR0231906
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COMPLIANCE INFO_2019
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Last modified
9/8/2021 3:18:10 PM
Creation date
7/22/2020 4:14:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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i <br /> SWRCB, January 2002 Page of <br /> S. UNDEWDISPENSER CONTAINMENT C TESTING <br /> Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard X Professional Engineer <br /> El Other (Specify) <br /> Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic <br /> 0 Other (Spec) <br /> Test Equipment Used: Caldwell Level Change Indicator Equipment Resolution$ . 002 <br /> UDC # 9 &10 UDC # UDC # UDC # <br /> UDC Manufacturer. L32 <br /> tal Containment <br /> UDC Material. ly Plastic I <br /> UDC Depth : " <br /> Height from UDC Bottom to Top 12" Product <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to 15" <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to Dry <br /> testing: <br /> Portion of UDC Tested' Water Line 19" <br /> Does turbine shut down when l <br /> UDC sensor detects liquid (both Yes <br /> product and water)?* <br /> Turbine shutdown response time Not Alarmed <br /> Is system programmed for fail- yes <br /> safe shutdown? <br /> i <br /> Was fail-safe verified to be No <br /> operational?' <br /> 3 <br /> Wait time between applying 5 Minutes <br /> water and starting test <br /> Test Start Time : 8 :52 <br /> Initial Reading (Ri) : .001 <br /> Test End Time: 9 :22 <br /> Final Reading (RF): wool <br /> Test Duration: 30 Minutes <br /> Change in Reading (RF-Ri): 0 <br /> i <br /> Pass/Fall Threshold or Criteria; .005/30 Minutes <br /> Test Result: Pass <br /> Was sensor removed for testing? Yes <br /> Was sensor properly replaced and Yes <br /> verified functional after testing? <br /> i <br /> Comments — (include information on repairs made prior to testing and recommended folloiv-irp foi;failed tests) <br /> l <br /> ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to a� 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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