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COMPLIANCE INFO_2020
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231309
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COMPLIANCE INFO_2020
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Last modified
11/30/2020 4:29:03 PM
Creation date
10/8/2020 7:37:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231309
PE
2361
FACILITY_ID
FA0003756
FACILITY_NAME
KISHIDA, GEORGE INC
STREET_NUMBER
1725
STREET_NAME
ACKERMAN
STREET_TYPE
DR
City
LODI
Zip
95240
APN
06219001
CURRENT_STATUS
01
SITE_LOCATION
1725 ACKERMAN DR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT <br /> XVII. FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer. <br /> A❑ B ❑ C❑ D <br /> A❑ B❑ C❑ D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines: <br /> ❑ Industry Code or Engineering Standard: <br /> ® Engineered Method: INCON TS1000/Hydrostatic—15 MIN. <br /> Attach the testing procedures and all documents required to determine the results. #of Attached Pages: <br /> Fill Riser Sump Testing Training and Certifications Expiration Date <br /> Incon TS1000- <br /> XVIII. COMMENTS <br /> XIX.VENT/TRANSITION SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A❑ B ❑ C❑ D <br /> A 177 B C❑ D❑ <br /> Test Method Used: ❑ Manufacturer Guidelines: <br /> ❑ Industry Code or Engineering Standard: <br /> ® Engineered Method: INCON TS1000/Hydrostatic—15 MIN. <br /> Attach the testing procedures and all documentation required to determine the results #of Attached Pages: <br /> Vent/Transition Sump Testing Training and Certifications Expiration Date <br /> INCON TS1000- <br /> XX. COMMENTS <br /> No vent sump tested. <br />
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