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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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2300 - Underground Storage Tank Program
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PR0231866
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COMPLIANCE INFO_2023
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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 /> 8. SUMP/UDC TEST <br /> Test Method Developed by ❑ Manufacturer ❑✓ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum p Hydrostatic <br /> Test Equipment Used: INcoN TS-STS <br /> Sump/UDC ID Fill Piping <br /> Sump Manufacturer N/A N/A <br /> Sump Depth (inches) 45° 45' <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration 18" 17" <br /> (inches) <br /> Test Start Time 9:06am - <br /> Initial Reading 2.4553 in. - <br /> Test End Time 9:21 am - <br /> Final Reading 2.4553 in. - <br /> Change in Reading - <br /> Pass/Fail Criteria -+0.002 in. - <br /> Tightness Test Results ✓❑ Pass ❑ Fail ❑ Pass ❑✓ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <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 3 of 5 <br />
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