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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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SWRC13, January 2002 <br />R_ Fl()I,�, Q)ICF'.Q !'(1NTAINMRNT CIiMP TCCTtI�i!`� <br />Page 1,�- of <br />Facility is Not Equipped With Fill Riser Containment Sums U <br />Fill Riser Containment Sumps are Present, but were Not Tested U <br />Test Method Developed By: U Sump Manufacturer U Industry Standard ,professional Engineer <br />U other (Spec) <br />Test Method Used: U Pressure U Vacuum ><Hydm tatie <br />U Other (Specify) <br />Test Equipment Used.- .A (,j /I Lt w L G % -E:;& e a OK <br />Equipment Resohrtion: l L1-rc <br />Fill Sump # 5—u 5 Fill Sum # <br />Fill Sum # Fill Sum # <br />Surnp Diameter <br />Sum the <br />r) 4 11 <br />Height from Tank Top to Top of <br />Highest Pipilig Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testing: <br />r <br />Portion of Sump Tested <br />L w4 14311 01 <br />Sump Material: <br />Wait timebetwecn applying <br />pressurelvacu ate <br />starting test <br />IS t�o <br />Test Start Time: <br />o <br />Initial Reading R,): <br />Test End Time: <br />2-! Zp <br />Final Reading RF': <br />&".1-e <br />Test Duration: <br />3 o rh�w t s <br />Change in Reading (RF-R).- <br />RF-R).Pass/Fail <br />Pass/FailThreshold or Criteria: <br />e i V� 3 o r-, r n. <br />''es''JC%suit�,ut ;, <br />Pass 1J Fad : <br />IJ: P U .Fail:. <br />1U . P U. Fail <br />Is there a sensor in the sump?X <br />Yes U No <br />U Yes U No <br />U Y1 s U No <br />U es U No <br />Does the sensor alarm when <br />either product or water is <br />I•� U No U NA <br />U Yes L No U NA <br />U Yes U No U NA <br />U Y U No U NA <br />detected? <br />Was sensor removed for testing? <br />X Yes U No U NA <br />U Yes No U NA <br />U Yes U No U NA <br />U Y U No U NA <br />Was sensor properly replaced and <br />X Yes U No U NA <br />verified functional after testing? <br />U Y U No U NA <br />U Y U No U NA <br />U U No U NA <br />Comments — (include information on repairs made prior 10 testing and recommended follow up or jailed tests) <br />
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