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COMPLIANCE INFO 2006 - 2012
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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2300 - Underground Storage Tank Program
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PR0231059
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COMPLIANCE INFO 2006 - 2012
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Last modified
6/10/2019 3:50:24 PM
Creation date
11/16/2018 10:45:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006 - 2012
RECORD_ID
PR0231059
PE
2361
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
01
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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KBlackwell
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EHD - Public
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SWRCB, January 2002 <br />6. PIPING SUMP TESTING <br />Page -4— of <br />Test Method Developed By: ❑ Sump Manufacturer ❑ industry Standard Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuumydrostatic <br />❑ Other (.Specify) <br />Test Equipment Used: Crr %e.: u)C' , +k ,; tr• �$,f: i r.' rc ,4.- <br />Equipment Resolution: i O Z <br />Sump # )_ <br />Sump # 2S11111p # <br />Sump # <br />Sump Diameter: <br />,It <br />' <br />Sump Depth: <br />a' <br />3 ►r <br />+ <br />Sump Material: <br />tzeV4 Ar f <br />r, 4,.f <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />1`7 <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />_P ( <br />19 d <br />Portion of sum Tested <br />P <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />roduct and water)?' <br />Yes ❑ No ❑ NA <br />es ❑ No ❑ NA <br />5 <br />❑ Yes7 0 ❑ NA <br />l <br />; <br />❑Yes ❑FjVO ❑ NA <br />Turbine shutdown response time <br />fired a ute <br />004 <br />Is system programmed for fail-safe <br />shutdown?* <br />Yes ❑ No ❑ NA <br />)%_�(es ❑ No ❑ NA <br />❑ Yes o ❑ NA <br />❑ Yes ❑ ❑ NA <br />Was fail-safe verified to be <br />opera ionai?* <br />❑ Yeso ❑ NA <br />❑ Yes ?No ❑ NA <br />�^ <br />❑ Yes No ❑ NA <br />ti <br />❑ Yes ❑ ElNA <br />Wait time between ap lying <br />pressure/vacuum/w ter d starting <br />test: <br />p t� l vy 4..4 4'-9 <br />N <br />Test Start Time: <br />d ze) <br />Initial Reading (111): <br />, O o / <br />► vo <br />y <br />Test End Time: <br />F <br />Final Reading (RF): <br />Test Duration: <br />3,or-� ,,,, u{ r S <br />t r r ►•�.�- c <br />Change in Reading (RF-Ri): <br />` <br />Pass/Fail Threshold or Criteria: <br />D <br />Test Result: <br />; GYPass ❑ Fail <br />Pass ❑ Fail <br />Pass ❑ Fail <br />Pass ❑ Fail <br />Was sensor removed for testing? <br />es ❑ No ❑ NA <br />es ❑ No ❑ NA <br />es ❑ No ❑ N, l <br />_ Yes ❑ No ❑JA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />es ❑ No ❑ NA <br />es ❑ No ❑ NA <br />Yes ❑No ❑NA/11 <br />DNA - <br />Yes ❑ No ❑ <br />Comments — (include information on repairs made prior to testing, and reco►nmended follow-up for failed tests) <br />' if the entire depth of the sump 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 sump must be tested. (See SWRCB LG -160) <br />
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