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COMPLIANCE INFO 2013 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1987
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2300 - Underground Storage Tank Program
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PR0517565
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COMPLIANCE INFO 2013 - 2018
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Last modified
11/19/2024 10:19:31 AM
Creation date
2/28/2019 4:45:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2018
RECORD_ID
PR0517565
PE
2361
FACILITY_ID
FA0013503
FACILITY_NAME
SAFEWAY FUEL CENTER #2600
STREET_NUMBER
1987
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1987 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />Test Method Developed By: ❑ UDC Manufacturer p Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Incon Sump Tester Equipment Resolution: +/- 0.002 Inches <br />['DC # 1 /2 UDC # 3/4 UDC # 5/6 UDC # 7/8 <br />UDC Manufacturer: <br />Western Fiberglass <br />Western Fiberglass <br />Western Fiberglass <br />Western Fiberglass <br />UDC Material: <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />UDC Depth: <br />31" <br />31" <br />31" <br />31" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />5" <br />5" <br />5" <br />5" <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />12" <br />12" <br />12" <br />12" <br />Condition of UDC prior to <br />testing: <br />Good <br />Good <br />Good <br />Good <br />Portion of UDC Tested <br />2" Above Piping <br />2" Above Piping <br />2" Above Piping <br />2" Above Piping <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />N/A <br />N/A <br />N/A <br />N/A <br />product and water)?* <br />Turbine shutdown response time <br />N/A <br />N/A <br />N/A <br />N/A <br />Is system programmed for fail- <br />safe shutdown?* <br />❑ Yes ❑ No Z NA <br />❑ Yes ❑ No 0 NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No p NA <br />Was fail-safe verified to be <br />❑ Yes ❑ No 0 NA <br />❑ Yes ❑ No Rl NA <br />❑ Yes ❑ No p NA <br />❑ Yes ❑ No Z NA <br />operational?* <br />Wait time between applying <br />pressure/vacuum/water and <br />30 Minutes <br />30 Minutes <br />30 Minutes <br />30 Minutes <br />starting test <br />Test Start Time: <br />Initial Reading Ri): <br />Inches <br />Inches <br />Inches <br />Inches <br />Test End Time: <br />Final Reading RF): <br />Inches <br />Inches <br />Inches <br />Inches <br />Test Duration: <br />Chan a in Reading(RF-RI): <br />Pass/Fail Threshold or Criteria: <br />0.002 <br />0.002 <br />0.002 <br />0.002 <br />Test Result: <br />E] Pass E] Fail <br />E] Pass ❑ Fail <br />E] Pass El Fail <br />[I Pass E] Fail <br />Was sensor removed for testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />verified functional after testing? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />UDC 1/2, 3/4, 5/6, 7/8 Visually failed due to jumper lines. <br />"Sensor functionality was not confirmed. This procedure is not part of the Secondary Containment <br />testing scope of work". <br />RECFEW <br />OrT 201? <br />ENVIRONmBI AL HEALTH <br />PERU r!::`EW(ES <br />
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