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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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Entry Properties
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 Inc Test Date: 11/13/2020 <br /> Address: 1725 Ackerman Drive Test Company: B.Z. Service Station Maintenance <br /> Citi: Lodi Address: 1041 Triangle Ct, West Sac,CA 95605 <br /> County: San Joaquin ENV <br /> Conducted by: Rhome Desbiens <br /> Signature: <br /> License#: 04-1691 <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): Tokheim/Red Jacket <br /> Weather: Cloudy hemp in Tanks: *F *C <br /> Cover over lines: concrete Burial Depth: 5' <br /> —IF <br /> Identify Log of test <br /> Pressure Volume Remarks: Size, <br /> — <br /> Time Net length,&type of <br /> each line (Military) Procedures,Ambient Psi or kpa Reading Change line,Flex <br /> efore <br /> as tested Temp, Weather,Etc � ���� <br /> BAfter Before After connectors,Repairs <br /> T2 1115 Start Line Test 50 0840 2" FG 50' <br /> T2 l 125 Continue Line Test 48 50 .0840 .0820 <br /> T2 1135 Continue Line Test 50 50 .0820 .0820 .0000 �T <br /> T2 1145 Continue Line Test <br /> T2 1155 Continue Line Test 50 50 .0820 .0820 .0000 I I Line Test Passed <br /> F 1156 Bleedback F.0820 .0920 .0100 1 Bleedback Pass <br /> Tl 1205 Start Line Test 50 .0920 2" FG,50' <br /> Tl 12151 Continue Line Test 50 50 .0920 .0920 .0000 <br /> Tl 1225 Continue Line Test 50 50 .0920 .0920 .0000 — � <br /> T1 1235 Continue Line Test 50 50 .0920 .0920 .0000 <br /> Tl 1245 Continue Line Test F.0920 II Line Test Passe <br /> Tl 1246 Bleedback 50 .0700 .0810 .0110 Bleedback Pass <br /> F— 000001 <br />
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