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COMPLIANCE INFO_2022
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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PR0537549
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
1/17/2023 11:07:19 AM
Creation date
4/5/2022 9:46:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0537549
PE
2351
FACILITY_ID
FA0021617
FACILITY_NAME
HARNEY LANE AM PM
STREET_NUMBER
255
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
062-580-40
CURRENT_STATUS
01
SITE_LOCATION
255 E Harney Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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e P <br /> 1. SPILL CONTAINER DETAILS <br /> Test Methods Developed by ❑ Manufacturer Z Industry Standard E] Professional Engineer <br /> Tank ID 87-1 87-2 91 DSL <br /> Spill Container Manufacturer OPW OPW OPW OPW <br /> Method of Cathodic Protection Z Nonmetallic 0 Nonmetallic Z Nonmetallic 2 Nonmetallic <br /> F-1 Other E] Other 0 Other [:] Other <br /> Is the spill container minimum Z Yes Z Yes Z Yes Z Yes <br /> capacity five gallons excluding ❑ No* E] No* E] No* Ej No* <br /> riser volume? <br /> ® Drain ® Drain Drain Z Drain <br /> Method to keep spill container El Pump 0 Pump El Pump E] Pump <br /> empty Ej Other E] Other E] Other E] Other <br /> Spill Container Test Results Z Pass 2 Pass Z Pass Z Pass <br /> � E] Fail E] Fail E] Fail 0 Fail <br /> Tank EkI D !f!77i <br /> Spill Container Manufacturer <br /> f C t N - <br /> Method of Cathodic Protection ❑ Nonmetallic El Nonmetallic 0 Nonmetallic E] Nonmetallic <br /> ❑ Other El Other E] Other [] Other <br /> Is the spill container minimum 7 Yes El Yes E] Yes E] Yes <br /> capacity five gallons excluding F� No* E] No* ED No* ❑ No* <br /> riser volume? <br /> I Fst the gallons a <br /> c� c�Pi�'!ivco I <br /> capacity e, a <br /> , ., 1, __) <br /> Method to keep spill container ❑ Drain ❑ Drain Ej Drain E] Drain <br /> Iempty <br /> , EPump EPUMP EPUMP EPum <br /> p <br /> EOther EOther EOther ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> FFail FFail EFail ] Fail <br /> 2. COMMENTS <br /> Describe all answers marked "Other" "No or "Fail"and each proposed remedy. <br /> *Mark here if <br /> ❑ Spill containers do not have minimum capacity of five gallons and require replacement. <br /> Page 9 of 9 <br />
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