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COMPLIANCE INFO 2004 - 2012
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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PR0231464
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COMPLIANCE INFO 2004 - 2012
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Last modified
6/17/2019 11:58:25 AM
Creation date
12/13/2018 3:43:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2012
RECORD_ID
PR0231464
PE
2361
FACILITY_ID
FA0000914
FACILITY_NAME
TIGER EXPRESS STORES
STREET_NUMBER
1399
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1399 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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SWRCB, January 2002 <br />6. PIPING SUMP TESTING <br />Page Lf of <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standardprofessional Engineer <br />❑ Other (Spec) X1 <br />Test Method Used: ❑ Pressure ❑ Vacuum \- } ydrostati . <br />F-1Other (Specify) / <br />Test Equipment Used: Cif / w e 'tau -t L c b4" 7,c 1-o j! 'a 4'? -r a,/ <br />` Sump # t- Sump # Z <br />Equipment Resolution: .,X12, -~ <br />Sump # <br />ump # <br />Sump Diameter: <br />q-2)) <br />+, <br />Sump Depth: <br />y t/ <br />0 J y �> <br />>, <br />Sump Material: <br />4, <br />Height from Tank Top to Top of <br />Hi est Piping Penetration: <br />, <br />/ y /?kod� ,� <br />/ 3 ��� {— <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />I <br />/ y <br />Condition of sump prior to testing: <br />A�;y <br />Portion of Sump Tested' <br />{,)c/ f t Law p � � �' <br />AJerl eY (,,acv a " <br />fnlq w two i g <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />product and water)? <br />es ❑ No ❑ NA <br />\\*es ❑ No ❑ NA <br />IgNes ❑ No ❑ NA <br />❑ Yes ❑ No NA <br />Turbine shutdown response time <br />w (J -P CG-° c !�e <br />Q C L c 'cr �] <br />w OL C L., ; t ce- 1. <br />Is system programmed for fail-safe <br />shutdown? <br />�RTes 13No F-1NAes <br />._. <br />❑ No ❑ NA <br />es ElNo ❑ NA <br />11Yes �No [INA <br />Was fail-safe verified to be <br />operational?' <br />❑ Yes io ❑ NA <br />❑ Yes,,Po ❑ NA <br />❑ Yes o ❑ NA <br />❑Yes ❑ ❑ NA <br />Wait time betwetjmg <br />pressure/vacu water d starting <br />test:/ <br />r�r: cru `S <br />/D lir 1),f m <br />Test Start Time: <br />,' �/r <br />7: S Jr <br />/0 ' 3 0 <br />Initial Reading (RI): <br />Sf Cyr. C� <br />`%�� C/yc•� <br />Test End Time: <br />Id ' Z <br />Final Reading (RF): <br />is Crve ( <br />l- St <br />Test Duration:p <br />lel Yu r-% lJ <br />�,►.l dU4(-1-<s <br />art /�-t e"4<5 <br />Change inReading (RF-RD:8 <br />C,( �Gt+ ^ <br />j ti // <br />0 C [ LL N•Ef <br />"'oo el, c .•^ <br />Pass/FaiI Threshold or Criteria: <br />.Op 3d r-t�h • <br />per' 3� /'x+ - <br />, ,a =1 d I - - <br />Test Result: <br />Pass ❑ Fail <br />ass ❑ Fail <br />Pass ❑ Fail <br />0 kass ❑ F it <br />Was sensor removed for testing? <br />es ❑ No ❑ NA <br />Rn ❑ No ❑ NA I <br />XYes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ VA <br />F�W�as sensor properly replaced and <br />functional after testing? <br />�'es ❑ No ❑ NA <br />p4es ❑ No ❑ NA <br />>Yes ❑ No ❑ NA <br />es ❑ Noified <br />Comments — (include information on repairs made prior to testing, and recommended 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 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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