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COMPLIANCE INFO_2013 - 2018
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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PR0231455
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COMPLIANCE INFO_2013 - 2018
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Last modified
5/6/2020 1:54:57 PM
Creation date
5/5/2020 4:53:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2018
RECORD_ID
PR0231455
PE
2361
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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SWRC.B,January 2002 4*.CE1VED <br /> 6. PIPING SUMP TESTING <br /> Test Method Developed By: U Sump Manufacturer 11'Industry Standard (K,tTjtgfeiignlRyineer <br /> 0 Other(Spec) <br /> Test Method Used: 11 Pressure Vacuum t <br /> L Other(Specify) ENVIR6I� tftL HEALTH <br /> Test Equipment Used. WT'ANT <br /> Equipment esolutioRiT <br /> Sump# Sump# Sump# Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Sump Material: - <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to testing: <br /> Portion of Sump Tested' <br /> Does turbine shut down when ❑Yes l No ( NA <br /> sump sensor detects liquid(both __Yes L No CNA ❑Yes L No DNA L Yes U No DNA <br /> product and water)?* <br /> Turbine shutdown response time <br /> Is system programmed for fail-safe 0 Yes [1 No 0 NA ["Yes ❑No I]NA -1 Yes 0No NA DYes 0No F NA <br /> shutdown?' <br /> Was fail-safe verified to be Yes No DNA <br /> operational?' Yes U No L NA DYes C No DNA L Yes D No I i NA <br /> _ <br /> Wait time between applying <br /> pressure/vacuum/water and starting <br /> test: _ <br /> Test Start Time: <br /> __.._..__. <br /> Initial Reading(R[): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rt): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: F Pass t Fail Pass !:-.1 Fail 17 Pass L Fail G Pass Fail <br /> Was sensor removed for testing? Yes [ No ( NA 9 Yes O No DNA C Yes G No 9 NA 11 Yes 7 No [ NA <br /> Was sensor properly replaced and 71 Yes ':I No DNA <br /> verified functional after testine7 YesNo LINA ❑Yes 1' No NA 11 Yes ONo ! NA <br /> Comments—(include information on repairs made prig 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 an 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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