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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ELM
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124
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2300 - Underground Storage Tank Program
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PR0231866
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
11/21/2023 3:49:19 PM
Creation date
2/8/2023 1:38:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231866
PE
2361
FACILITY_ID
FA0003957
FACILITY_NAME
AT&T California - UE020
STREET_NUMBER
124
Direction
W
STREET_NAME
ELM
STREET_TYPE
St
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
124 W Elm St
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 /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br /> Test Equipment Used:4"Dial Gauge <br /> Tank ID UE0200001 <br /> Tank Manufacturer Modern Welding <br /> Tank Capacity 8,000 gal <br /> Test Start Time - <br /> Initial Reading - <br /> Test End Time - <br /> Final Reading - <br /> Change in Reading - <br /> Pass/Fail Criteria - <br /> Tightness Test Results ❑ Pass ❑✓ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ❑✓ Industry Standard ❑ Professional Engineer <br /> Test Type ❑✓ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: 4"Dial Gauge <br /> Pipe Run ID Supply Secondary Return Secondary Vent Secondary <br /> Pipe Manufacturer Rock Guard Western Fiberglass A.O. Smith <br /> Test Start Time 9:28am 11:25am - <br /> Initial Reading 5 psi 5 psi - <br /> Test End Time 10:28am 12:25pm - <br /> Final Reading 5 psi 5 psi - <br /> Change in Reading - - - <br /> Pass/Fail Criteria - - - <br /> Tightness Test Results ❑✓ Pass ❑ Fail ❑✓ Pass ❑ Fail ❑ Pass ❑✓ Fail ❑ Pass ❑ Fail <br /> Pipe Run ID <br /> Pipe Manufacturer <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <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 2 of 5 <br />
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