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COMPLIANCE INFO 2004 - 2011
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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PR0231098
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COMPLIANCE INFO 2004 - 2011
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Entry Properties
Last modified
7/25/2019 8:52:05 AM
Creation date
7/24/2019 4:44:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2011
RECORD_ID
PR0231098
PE
2361
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
01
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
Tags
EHD - Public
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FROM :Donlee pump co. <br />iVV4 <br />FRX NO. :2095379398 <br />7. UNDER -DISPENSER CONTAINMENT <br />ug. 29 2005 09:13RM P7 <br />Page -�5 of—& <br />TESTING <br />Tcst Method Developed By: <br />0 UDC Manufacturer 0 Industry Standard <br />Q Othcr (Speclfv) <br />0 Professional Engineer <br />Tcst Method Used: <br />0 Pressure <br />❑ 011ier (Specify) <br />0 Vacuum <br />0 Hydrostatic <br />Test Equipment Used: <br />UDC Manufacturer: <br />UDC # <br />UDC # <br />Equipment Resolution: <br />UDC # <br />UDC # <br />UDC Material: <br />UDC De the <br />6 " <br />Hei-ht from LTDC Sotto;u to Top <br />of Hiuhcst PiDing Penetration: <br />fr - <br />Height from UDC Bottom to <br />Lowest Electrical PeneLmtion: <br />Condition of UDC prior to <br />tcstin : <br />Portion of UDC Tcsted <br />Docs turbine shut down when <br />UDC s::ttsor detects liquid (both <br />product and water)? <br />C Yes ry No !,�A <br />"Ycs 'C No NA <br />7—Yes <br />Z No <br />CNA <br />❑ Yes <br />C No U NA <br />Turbine shuldown response time <br />Is s stent ' nursed for fail- <br />safe shutdotvn' <br />I ownsT <br />C es C No C NA <br />C Ycs C No CN A <br />C � cs <br />❑ No <br />CNA <br />G Yes <br />0 No 0 NA <br />1Vas f t':1 -safe verificd to be <br />o er;ptional'? <br />rs� , cs ❑ No L NA <br />C Yes G No ❑ NA <br />0 Yes <br />0 No <br />C NA <br />C Yes <br />2 No 0 NA <br />Wait time bewveen applying <br />pressure/vacuumJNvater and <br />Slartintr test <br />Test Start Time: <br />Initial Readin (P,;): <br />T cst End Time; <br />Fina Rcadin r): <br />Tcsl Dunition: <br />01;111 !e in Reading R -R ): <br />Pass/Fail Threshold or Criteria: <br />Test Result:Q <br />pass uii <br />d Puss Q Fail <br />d Pass : Q pail .;. <br />'D Pass .•..0 Fail <br />Was sensor removed for testing?- <br />G Yes C No 9 A <br />t- Yes C No r NA <br />C Yes <br />❑ No <br />r NA <br />C Yes <br />❑ No CNA <br />11°as sensor properly replaced and <br />Vcrilicd fltnction;tl after iespntO <br />C Yes C No U,✓ A <br />� )'cs [:,No G NA <br />EYes <br />0 N <br />11 NA <br />0Yes <br />0 No G NA <br />Co ill nie its — (Include information on repaire oracle prior Iv and reconttttc�nded folloii•-tip for jailed tests) <br />�_ s,+��1 c :a".rs yr- r}K t•y�' T'' rn�.•,nty,J�.ri e c � e <br />' if the entire depth of ttte UDC is not tested, specify hot`' much was tested. If the answer to anti of the questions indicated with ail <br />;►sterisk (*) is "NO" or •`NA'•, lllc entire UDC ntusi be tested. (Sec SWRCi; LG-1GU) <br />
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