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COMPLIANCE INFO 2014 - 2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO 2014 - 2015
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Last modified
5/28/2019 11:15:30 AM
Creation date
10/19/2018 3:11:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 2014 - 2015
FileName_PostFix
2014 - 2015
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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JUL 28 2014 <br />SWRCB, January 2002 Page of <br />ENVIRONMENTAL REEALTH <br />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING ..-� A � - - <br />Test Method Developed By: <br />.UDC Manufacturer 0 Industry Standard <br />X Professionat <br />Engineer <br />0 Other (Specify) <br />Test Method Used: <br />0 Pressure <br />0 Vacuum <br />Hydrostatic <br />0 Other (Spec) <br />Test Equipment Used <br />pAestsysteff <br />J& <e ¢ {; <br />Equipment Resolution: <br />UDC # <br />UDC # <br />UDC # j <br />UDC # <br />UDC Manufacturer: <br />`i C d <br />C" " ri <br />yo-yo <br />UDC Material:Als'-, <br />UDC Depth: <br />i o " V <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />I <br />I <br />V <br />Height from UDC Bottom to <br />Lowest Electrical Penetration:i <br />}� <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />❑ Yes 'ONo 0 NA <br />DYes KIo DNA <br />0 Yes 'XNo <br />DNA <br />DYes ❑No DNA <br />product and water ?4 <br />Turbine shutdown response time <br />Iss programmed for fail- <br />safe shutdown? <br />shutdowutdown?. <br />D Yes !�,No D NA <br />❑Yes Vo DNA <br />❑Yes ZNo <br />DNA <br />DYes ❑No DNA <br />Was fail-safe verified to be <br />❑ Yes ONo tRNA <br />DYes 0 N SNA <br />❑Yes 0 N <br />ONA <br />❑Yes ONo DNA <br />operational?* <br />Wait time between applying <br />pressure/vacuum/water and <br />15 min <br />15 min <br />15 min <br />15 min <br />starting test <br />Test Start Time: <br />3 0 <br />00 <br />�. <br />Initial Readin (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />1 d r <br />T511 n 1 u r <br />4149n <br />r <br />15 min <br />Change in Reading (RF -R[): <br />Pass/Fail Threshold or Criteria: <br />.002 <br />.002 <br />.002 <br />.002 <br />.Test Result: <br />XPass ❑ Fail <br />�2( Pass 0 Fail <br />CK Pass ❑ Fail <br />❑ Pass 0 Fail <br />Was sensor removed for testing? <br />D Yes 0 No ❑ NA <br />❑ Yes 0 No ❑ NA <br />D Yes O No <br />DNA <br />D Yes ❑ No DNA <br />Was sensor properly replaced and <br />DYes 0 N 0 N <br />DYes 0 N 0 N <br />❑Yes 0 N <br />0 N <br />❑Yes 0 N 0 N <br />verified functional after testin ? <br />Comments — (include information on repairs made prior to testing, and recom ended ollow-u for failed tests) <br />T� i' 'I Ci—Lo V� � <br />' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to gLny 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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