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COMPLIANCE INFO_PRE 2019
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2300 - Underground Storage Tank Program
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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 '09:32 FAX 9512705121 CIRCLE R STORES 9008 <br /> SWRCB,January 2002 Page of <br /> 7. UNDER DISPENSER CONTAINMENT C)TESTING <br /> Test Method Developed By: D UDC Manufacturer ladushy Standard 0 Professional Engineer <br /> D Olher(Sped) <br /> Test Method Used: 0 Pressure D Vacuum drostatic <br /> D Other(Speer) <br /> Test Equipment Used: Ct [LLI'lZi {fi"S Equipment Resolution: <br /> - <br /> _ _ UDC# 1-47 1 UDC# -1 1 UDC# .- UDC# <br /> UDC Manufacturer - O sr <br /> UDC Material: / , <br /> UDC the .319 <br /> Height from UDC Bottom to Top <br /> of Highest Piping Penetration: - <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to 1/ <br /> testing,- - Jd- <br /> Portion of UDC Tested ve hi It l t [ <br /> Does turbine shut down when j <br /> -�e <br /> UDC seosordetects gmd(both Oyes ONo XNA DYes ONo 7NA DYes ONo 3MA OYes ONo ANA <br /> and water 1� <br /> Turbine shutdown response time <br /> Is systemprogrammed for far]- 11 Yes ❑No VLNA <br /> safe shutdown?' 11 Yes 0 No UNA ❑Yes O No PNA ❑Yes ONo JdNA <br /> Was fail-safe verified to be O Yes D No NA �e <br /> ona17' ❑Yes ONo )WA ❑Yes ONo 9WA ❑Yes ONo <br /> operatiWait time between applying - <br /> pressureJvacuum(water and2 D min I/ k (/ <br /> starting test / <br /> Test Start Time: E <br /> Initial Readin b <br /> Test Fad Time: 0 514 U <br /> final R 1 - - <br /> Test Duration: ••-ti- <br /> Chan a in Reade 0-100 r _ <br /> Pass/Fad Threshold or Criteria: 'wz1 O•tom OW <br /> Tesf Result ass ❑FailBass O Fail ❑ Passi ❑Fail 0,Pass,: O Fail <br /> Was sensor removed for testing? 9LYes ONO DNA jil' ONo DNA Yes ONo NA OD(es ONo DNA <br /> Was sensor properly replaced and )LYm O No -D NA / 0 <br /> verified functional after testing? es ONo DNA `jWas ONo DNA Yes DNo ONA <br /> COMMents—(mclude mformarfon on repairs made prior to testing and recommended ollow-up jar 'led testi) <br /> Circle K - #2701205 <br /> — 16470 Cambridge Dr <br /> Lathrop, CA 95330 <br /> N04312 –SB 989 testing <br /> i If the entire depth of the UDC is not tested,specify how much was bested. If the answer to my 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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