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COMPLIANCE INFO_2021
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_2021
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Last modified
1/12/2022 4:38:57 PM
Creation date
1/11/2021 9:57:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
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
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SJGOV\kblackwell
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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Test Equipment Used: INCON TS1000- 15 MIN. <br /> Sump/UDC ID 87 91 DSL 1/2 <br /> Sump Manufacturer Unknown Unknown Unknown Unknown <br /> Sump depth (inches) N/A N/A N/A N/A <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration N/A N/A N/A N/A <br /> (inches) <br /> Test Start Time 12:13 10:57 1:09 3:18 <br /> Initial Reading 2.1373 2.5355 3.0862 3.1353 <br /> Test End Time 12:28 11:12 1:24 3:33 <br /> Final Reading 2.1361 2.5353 3.0856 2.1352 <br /> Change in Reading .0012 .0002 .0006 .0001 <br /> Pass/Fail Criteria 0.002 0.002 0.002 0.002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Sump/UDC ID <br /> Sump Manufacturer Unknown <br /> Sump depth (inches) N/A <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration N/A <br /> (inches) <br /> Test Start Time 3:18 <br /> Initial Reading 1.4794 <br /> Test End Time 3:33 <br /> Final Reading 1.4801 <br /> Change in Reading .0007 <br /> Pass/Fail Criteria 0.002 0.002 0.002 0.002 <br /> Tightness Test Results ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page maybe attached. <br /> Page 4 of 6 <br />
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