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COMPLIANCE INFO_2020
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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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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Precision Line Tightness Test <br /> Data Chart for use with Petro Tite <br /> Facility: George Kishida Test Date: 11/17 <br /> Address: 1725 Ackerman Dr - UTest Company: B.Z. Service Station Maintenance <br /> City: Lodi Address: 1041 Triangle Ct,West Sac, CA 95605 <br /> Conducted by: Rhome Desbiens <br /> License#: 04-1691 Signature: <br /> Petro Tite#: 3000010369 <br /> Is a tank test to be made with this line test? ❑ Yes ®No <br /> Make and type of pump or dispensers(Suction or Submersible): [ <br /> Weather: I Temp in Tanks: *F *C <br /> Cover over lines: Burial Depth: <br /> Pressure Volume <br /> Remarks: Size, <br /> Identify Log of test procedures, <br /> Time i Net length,&type of <br /> each line (Military) Ambient Temp, Psi or kpa Reading Change line, Flex <br /> as tested Weather, Etc <br /> connectors,Repairs <br /> Before After Before After <br /> DSL-2 1143 Start Line Test 50 .0690 2" FG 40' <br /> 1153 Continue Line Test 50 50 .0690 .0690 .0000 _� <br /> 1203fl ) 50 50 .0690 .0690 .0000 I <br /> F___12_0__]j _ ft � 49.5 50 .0690 .0680 .0010 I -� <br /> 1223 � 50 50 .0680 .0680 .0000 �-- � <br /> .0680 .0680 .0000 Line Test PASSED <br /> DSL-1 1251 Start Line Test 50 .0710 2" FG 50' <br /> 1301 Continue Line Test 49 50 .0710 .0710 .0000 <br /> " 1311 149.5 50 .0710 .0710 .0000 � --� <br /> 1321 _ 50 50 .0710 .0710 .0000 - <br /> " 1331 ----� 50 50 .0710 .0710 .0000 �_� <br /> 1341 50 50 .0710 .0710 .0000 Line Test PASSED <br />
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