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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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RECEIVED <br /> SWRCB,January 2002 Page......of' <br /> 7. UNDER-DISPENSER CONTAINMENT(UDC TES%ft 2 3 2013 <br /> Test Method Developed By: D UDC Manufacturer I gndustry Standard P Professional Engineer <br /> EJ Other(Specify) ALTH <br /> Test Method Used: Cl Pressure C Vacuum ENVIRONMENTAL HE <br /> DEPWTMERI^ <br /> E Other(Specify) <br /> Test Equipment Used: —L!±g e Qwo>agze- Equipment RFsolution: Vr <br /> �_R MMM <br /> NIM O"aa-M-SOMA <br /> _UTDC# — LLZ__ UDC# -3/4 UDC#---,— UDC <br /> UDC Manufacturer: .-B 1 4 . VO <br /> UDC Material: FRP 0_7 <br /> UDC Depth: <br /> Height from UDC Bottom to Top <br /> I r-of Highest.Pi ping Penetration: <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: /1,114L <br /> Condition of UDC prior to <br /> testing: <br /> -Portion of UDC Tested' 5-i <br /> Does turbine shut down when Wes 01 No 0 NA <br /> UDC sensor detects liquid(both OWes 11 No LINA .51,Yes O'No 0 NA *Yes Li No 1. NA <br /> product and water)?* <br /> Turbine shutdown response time 5---- �`s:r-z7 <br /> Is system programmed for fail- Yes 0 No 11 NA <br /> safe shutdown?* f.�Yes L]No 011 NA IYes I No 0 NA Oty- es Cl No I-INA <br /> Was fail-safe verified to be (�_Yes 01 No NA <br /> operationaW IXYes 11 Na 10 NA (kYes 0 Na 0 NA Yes J No CNA <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test 1742 <br /> Test Start Time: <br /> Initial Reading(RT). 4 st rt <br /> Test End Time: 7-1- Zr t v7 <br /> 7.1 <br /> Final Reading(RF): (it --31. <br /> Test Duration: -P S-17*S <br /> Change in Reading(RF-Rt): 49- <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: _AL Pass Li Fail ass 0 Fall Sepass L Fail ass 0 Fail <br /> Was sensor removed for testing? 9_(Yes 0 No 0 NA N*es 0 No C,NA VYes -]No Fj NA �k es ONo FINA <br /> Was sensor property replaced and *yYcs FINo <br /> verified functional after testing? 4Ycs LINo ONA '_-�Yes ONo `JNA L)W- cs L]No I NA <br /> Comments—(include information on repairs made prior to testing,and recomm endedfo flow-up for failed tela <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 M is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160) <br /> .............. <br />
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