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COMPLIANCE INFO 2001-2006
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO 2001-2006
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Last modified
5/24/2019 9:49:31 AM
Creation date
11/1/2018 9:48:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 2001-2006
FileName_PostFix
2001-2006
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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EHD - Public
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SWRCB, January 2002 <br />7_ 1 iA1Il F.R_nrcPri NCfi'D !`(1NTA rwrwR�t►rr .. rr►rn TT[�Tr�r/l <br />Page of <br />_--_ ---_ — - k ---,r 1% 111\\f <br />Test Method Developed By: U UDC Manufacturer U Industry Standard )(Professional Engineer <br />U Other (Speciijy) <br />Test Method Used: U Pressure U Vacuum pl�lydrostatic <br />U Other (Specify) <br />Test Equipment Used: LA j kwet� Leu�L u.,Qr ^ dl f d U1r Equipment Resolution: <br />Cord e- q i-1 Zy 6,s <br />UDC # 2 t ,t UDC # ,'l S UDC # <br />UDC # <br />UDC7Manufact�urer-_ t v +'v r✓"rIr rezin <br />UDC o 1 <br />Pot <br />UDC u <br />Z r <br />Height from UDC Bottom to Top <br />I <br />�2 �) <br />of Highest Piping Penetration <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: 3 r <br />tt <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested W4�ev L- l C <br />W k4 *r Lt,,t T- ' <br />Does turbine shut down when <br />yes l7 No ETNAUDC sensor detects liquid (moth k <br />Yes D No DNA 7jYes 17No DNA <br />UY 0 No b NA <br />prodact and water)?* <br />Turbine shutdown response time k c• <br />o Set-, <br />Is system programmed for fail- Yes 0'No 0 NA <br />safe shutdown?* <br />es Cf No fl NA 0 Yes 0 No n NA <br />O Y 17No C NA <br />Was fail-safe verified to be XYes 7 No d NA <br />operational?' <br />?(Yes d No 0 NA D Yes D No II NA <br />17 Y Q No D NA <br />Wait time betwmg <br />pressurelvacu water <br />starting test l S r-1 <br />Test Start Time: 1,5 O <br />l: 50 <br />Initial Reading(Pq): t r. L rL cl e <br />`v _j_ G r e <br />Test End Time: 2' I o <br />2-11 l D <br />- <br />Final Reading RF): ffjfi Crkcle <br />F +Lrycle <br />Test Duration: 3� 5 <br />30 n,4.1. 5 <br />Change in Reading (R,; -&y rv d cam- c <br />Pass/Fad Threshold or Criteria L r'L1P i H 30 W1T <br />C MGIC in 301N <br />a,i t t .. <br />t' � o � t'9u+, i� ,. mix +! , ,.... •i . 'l : S#';fifi7�`>�tt.'fi:I iY <br />} :,. �•t �x-n Ott . <br />r ,i3.i "�lai2i: ,Li,y YJ r', .aJ i"i�l <br />1-�+ s .� <br />-L1::; aS� -l'A4_._-.. <br />Li <br />Was sensor removed for testing? ,7Yes d No n NA <br />t�Ves b No [3 NA 0 Yes 0 No D NA <br />CI Y D No ❑ NA <br />Was sensor properly replaced and XYes d No M NA <br />verified fimctional after testing? <br />A�Vcs D No d NA Q Y ❑ No 0 NA <br />D- es ❑ No II NA <br />Comments - (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />'If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any 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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