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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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L
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LOCKEFORD
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205
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2300 - Underground Storage Tank Program
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PR0232257
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COMPLIANCE INFO_2023
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Last modified
11/21/2023 3:10:04 PM
Creation date
5/31/2023 10:29:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0232257
PE
2361
FACILITY_ID
FA0000670
FACILITY_NAME
QUIK STOP MARKET #148
STREET_NUMBER
205
Direction
W
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04116115
CURRENT_STATUS
01
SITE_LOCATION
205 W LOCKEFORD ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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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 0 Manufacturer 0✓ Industry Standard © Professional Engineer <br /> Test Type 0 PressureX❑ Vacuum ❑I— Hydrostatic <br /> Test Equipment Used: vacuum Gages <br /> Tank ID Gasoline-87 Gasoline-89 Gasoline-91 <br /> Tank Manufacturer Xerxes(FRP) Xerxes (FRP) Xerxes (FRP) <br /> Tank Capacity 10,000 10,000 8,000 <br /> Test Start Time 10:00 10:20 10:40 <br /> Initial Reading 10 10 10 <br /> Test End Time 11:00 11:20 11:40 <br /> Final Reading 10 10 10 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results 0✓ Pass 0 Fail ® Pass © Fail ® Pass 0 Fail ❑ Pass C Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by El Manufacturer 0 Industry Standard © Professional Engineer <br /> Test Type © Pressure 0 Vacuum © Hydrostatic <br /> Test Equipment Used: Pressure Gages <br /> Pipe Run ID Gasoline-87 Gasoline -89 Gasoline-91 <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 10:00 10:00 10:00 <br /> Initial Reading 5 5 5 <br /> Test End Time 11:00 11:00 11:00 <br /> Final Reading 5 5 5 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results 0 Pass © Fail E Pass r] Fail Pass ID 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 0 Pass 0 Fail ❑ Pass r] Fail I 0 Pass 0 Fail C Pass 0 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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