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COMPLIANCE INFO_PRE 2019
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PR0231532
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
10/5/2022 11:21:35 AM
Creation date
11/8/2018 9:47:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0231532
PE
2351
FACILITY_ID
FA0000185
FACILITY_NAME
CITY FOOD & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
03
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\C\CAMBRIDGE\16470\PR0231532\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
10/22/2012 8:00:00 AM
QuestysRecordID
131132
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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04/19/05 TUE 09:31 FAX 9512705121 CIRCLE K STORES @007 <br /> SWRCB,January 2002 page q of <br /> 6. PIPING SUMP TESTING <br /> Test Method Developed By 0 Sump Manufacturer Industry Standard 0 Professional Engineer <br /> 0 Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum ydtostatic <br /> ❑Other(Sped) <br /> Test Equipment Used (�, i.(.L41" n, (6AL Equipment Resolution: <br /> -- -- .. a �. .... -- n-- - -_- _ <br /> Sump# Sump# y l Sump# Sump# <br /> Sump Diameter. q hr Ic <br /> Sump Depth b 7-" 6 Z <br /> Sump Materia]' � I"1'an _ yft�z rcru <br /> - Height from Tfink Top to Top of <br /> "Highest Piping Penetration: <br /> Height from Tank Top to Lowest3 =• 13Yrt <br /> Electrical Penetration: <br /> Condition of sump prior to testing: a 60j 0 <br /> Portion,of Sump Tested' 06fz,h' -- n- it <br /> Does turbine shut down when �e <br /> sump sensor detects liquid(both ❑Yes ❑No i6A ❑Yes 0No 9PA ❑Yes ONo YNA ❑Yes 0No1,44A <br /> product and water)?* <br /> Turbine shutdown response time <br /> Is system programmed for fail-safe ❑Yes 0N *A <br /> shutdown? ❑Yes ONo WMA ❑Yes DNo VM ❑Yes ONo `�NA <br /> shutdown?* � <br /> Was fail-safe verified to be 11 Yes 11 No `f" A ❑Yes ONo �NA ❑Yes ONo `PNA nYes ONo qPA <br /> o tional7� <br /> Wait tune between applying pressure/vacuum/water and starting 3o rn d✓� u 4 <br /> test <br /> Test Start Time: 9: q0 <br /> Initial Reading(Rt): I • 2 13 1114S-74 <br /> Test End Time: q : 5-,67- <br /> Final Reading(Rr): -- // <br /> Test Duration: / /5-&„ <br /> Change in Reading(RFRi): • dot 0 1 d- coot 7 <br /> Pass/Fail Threshold or Criteria: Q,Q7'� Q,� . .002 t�rUOZ <br /> Tesf R esnit: X Pass ❑Fail ass u Fail a Pass; TJ Tsrb,'.' ❑ Pa88"?d 1 aiI <br /> Was sensor removed for testing? P(Yes 0 No 0 NA <br /> g lXYs ❑No ❑NA 'i7 Yes ❑No ONA Yes ❑No ONA <br /> Was sensorpropedyreplacedand )XYes ONo 0N Yes ONo LINA ❑No ❑NA XYes ❑No ❑NA <br /> verified functional after testing? <br /> _COMMel[tS—(inclade infornation on repairs made prior to testing,and recorr coded 1ollox�up or ailed tests) <br /> Circle K- #2701205 <br /> 16470 Cambridge Dr <br /> Lathrop, CA 95330 <br /> N04312-SB 989 testing <br /> 'If the entire depth of the sump is not tested,specify how much was tested. If the answer to my of the questions indicated with an <br /> asterisk(*)is"NO"or"NA",the entire sump must be tested. (See SWRCB LG-160) <br />
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