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COMPLIANCE INFO 2016 - 2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO 2016 - 2018
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Last modified
5/28/2019 2:27:51 PM
Creation date
10/19/2018 10:08:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2018
RECORD_ID
PR0516526
PE
2361
FACILITY_ID
FA0012659
FACILITY_NAME
LOVE'S COUNTRY STORES OF CALIF #223
STREET_NUMBER
1553
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534024
CURRENT_STATUS
01
SITE_LOCATION
1553 COLONY RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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SWRCB, January 2002 <br />18. UNDER -DISPENSER CONTAINMENT (tJDCI TESTING <br />Page of _ _ <br />Test Method Developed By: UDC Manufacturer ❑ Industry Standard X Professional Engineer <br />Li Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: Caldwell Level Change Indicator <br />Equipment Resolution: .002 <br />€ <br />UDC Manufacturer: <br />UDC # 1&2 <br />UDC # 3&4 <br />UDC # 5&6 <br />UDC # 7&8 <br />Environ <br />Environ <br />Environ <br />Environ <br />UDC Material: <br />Poly Plastic <br />Poly Plastic <br />Poly Plastic <br />Poly Plastic <br />UDC Depth: <br />30" <br />30" <br />30" <br />30" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />10" <br />9" <br />11" <br />10" <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />8" <br />8 '/2" <br />8" <br />8" <br />Condition of UDC prior to <br />testing: <br />Dry <br />Dry <br />Dry <br />Dry <br />Portion of UDC Tested <br />Water Line 13 %2" <br />Water Line 15" <br />Water Line 14" <br />Water Line 14" <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />No <br />No <br />No <br />No <br />Turbine shutdown response time <br />N/A <br />N/A <br />N/A <br />N/A <br />Is system programmed for fail- <br />safe shutdown?* <br />No <br />No <br />No <br />No <br />Was fail-safe verified to be <br />operational?* <br />N/A <br />N/A <br />N/A <br />N/A <br />Wait time between applying <br />water and starting test <br />5 Minutes <br />5 Minutes <br />5 Minutes <br />5 Minutes <br />Test Start Time: <br />11:00 <br />11:05 <br />11:10 <br />11:15 <br />Initial Reading Ri): <br />.001 <br />.001 <br />.001 <br />.001 <br />Test End Time: <br />11:30 <br />11:35 <br />11:40 <br />11:45 <br />Final Reading (RF): <br />.001 <br />.001 <br />.001 <br />.001 <br />Test Duration: <br />30 Minutes <br />30 Minutes <br />30 Minutes <br />30 Minutes <br />Change in Reading (RF -RI): <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Threshold or Criteria: <br />.005/30 Minutes <br />.005/30 Minutes <br />.005/30 Minutes <br />.005/30 Minutes <br />Test Result: <br />Pass <br />Pass <br />Pass <br />Pass <br />Was sensor removed for testing? <br />Yes <br />Yes <br />Yes <br />Yes <br />Was sensor properly replaced and <br />verified functional after testin ? <br />Yes <br />Yes <br />Yes <br />Yes <br />Comments — <br />on repairs made prior to testing, and <br />zm— LiO <br />DEC 2 9 2016 <br />ENVIRONMFNI , i HEAUH <br />- DEPARTMI\IT <br />' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to as of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />
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