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COMPLIANCE INFO_2008 RETROFIT
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO_2008 RETROFIT
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Last modified
11/21/2022 11:26:32 AM
Creation date
12/13/2018 1:04:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008 RETROFIT
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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' w <br /> S WRCB,January 2002 rr <br /> Page 4 of 1 <br /> Test Method 7• UNDER-DISPENSER CONT Devel ed B SENT C TESTING <br /> J? Y ❑UDC Manufacturer ❑Industry Standard Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure <br /> ❑Vacuum rRydrostatic <br /> ) FP <br /> Test Equipment Used ❑Other(Sped <br /> R 1eso 11 <br /> Equipment ution: <br /> �� fr II t� <br /> UD: .sC.4Ci# " r `;.; llfd'i(x'",5,'+a:C/' w.'4�.+.�.k�-_.4*aM /e `.✓': �?��i€�+v� ¢ �1� <br /> � UDC# UDC#UDC Manufacturer: a <br /> v��• �. <br /> vin C# <br /> UDC Material: n v'P mph <br /> UDC Depth: ., <br /> Height from UDC Bottom to Top <br /> of Hi hest Pi in Penetration: " Ct �' <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: 3 3`t <br /> Condition of UDC prior to <br /> testis : p (J,a,� <br /> Portion of UDC Tested <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both ' Yes ❑No ❑NA es ❑No ❑NA ❑Yes N ❑NA ❑Yes ❑ <br /> product and water)?* ❑NA <br /> Turbine shutdown response time , o+C,1,,,� � 04- <br /> Is system programmed for fail- <br /> safe shutdown?* P<Xes ❑No ❑NA Pes ❑No ❑NA ❑Yes ❑ ❑NA ❑Yes <br /> Was fail-safe verified to be El NA <br /> operational?* ❑Yes o ❑NA ❑Yes>t�o ❑NA ❑Yes No ❑NA ❑Yes N ❑NA <br /> Wait time between ying <br /> pressure/vacu ater d <br /> starting test i a r-t-, "v4- rG, <br /> Test Start Time: io t 0 <br /> bS ' S- <br /> Initial Readin I : F'� 4 G,yc,1/ f-�y <br /> Test End Time: 0 S v <br /> Final Readin (RF): (-ri-s-1- Grye(p <br /> Test Duration: <br /> V11 r7 (9 �h `v_- <br /> Chan a in Readin -RI(RF : rlo u� w o <br /> Pass/Fail Threshold or Criteria: i h . 0 r e ;n 30 A-- <br /> Test Result: Pass 11 Fail ass ❑.Fail ❑ Pass ❑Fail ❑ Pass ❑Fai <br /> Was sensor removed for testing? es ❑No ❑NA es ❑No ❑NA Yes ❑No ❑NA Yes ❑No ❑N <br /> Was sensor properly replaced and <br /> verified functional after testing? .des ❑No ❑NA /X�' ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑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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