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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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2300 - Underground Storage Tank Program
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PR0232519
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COMPLIANCE INFO_2021
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Last modified
3/9/2021 8:00:36 AM
Creation date
1/25/2021 4:33:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0232519
PE
2361
FACILITY_ID
FA0000483
FACILITY_NAME
BILLS 76
STREET_NUMBER
633
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04321055
CURRENT_STATUS
01
SITE_LOCATION
633 E VICTOR RD STE A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
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EHD - Public
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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: Caldwell Level Change Indicator <br /> Sump/UDC ID 1-87-PS 2-89-PS 3-91-PS <br /> Sump Manufacturer Unknown FGC Unknown FGC Unknown FGC <br /> Sump Depth (inches) 37" 36" 37" <br /> Sump Bottom to Top of 16" 18" 15" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 8:37 8:42 9:27 <br /> Initial Reading .001 .001 .001 <br /> Test End Time 9:07 9:12 9:57 <br /> Final Reading .001 .001 .001 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 <br /> Tightness Test Results M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID UDC 1&2 UCD 3&4 UCD 5&6 UCD 7&8 <br /> Sump Manufacturer BSYCS BSYCS BSYCS BSYCS <br /> Sump Depth (inches) 13 1/2" 13 1/2" 13 1/2" 13 1/2" <br /> Sump Bottom to Top of BP BP BP BP <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 8:47 8:52 9:32 9:37 <br /> Initial Reading .001 .001 .001 .001 <br /> Test End Time 9:17 9:22 10:02 10:07 <br /> Final Reading .001 .001 .001 .001 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria > .002 > .002 > .002 > .002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> All tests marked "Fail'and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 3 of 5 <br />
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