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COMPLIANCE INFO_2006-2015
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2300 - Underground Storage Tank Program
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PR0231348
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COMPLIANCE INFO_2006-2015
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Last modified
12/12/2023 9:41:51 AM
Creation date
6/3/2020 9:47:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2015
RECORD_ID
PR0231348
PE
2361
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
01
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231348_601 E KETTLEMAN_2006-2015.tif
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EHD - Public
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SWRC8, January 20020 0 Page of <br />6. PIPING SUMP TESTING <br />Test Method Developed By: ❑ Sump Manufacturer ❑Industry Standard ',O'�rofessional Engineer <br />❑ Other (Spec)' <br />Test Metho Used: - ❑ Pressure, _ _ _0_Vacuum y Hydrostatic _ <br />❑ Other (Specify) <br />Test Equipment Used: C( -(1,J, _),,I) �Qu, t, f° � a ;� <t t r g�~ <br />Equipment Resolution: e) r� <br />- .:4 �-� .roovrwr.�,a.rct�aa ia... �..r'w�'.w .oK.�= �-. •;�,_ �r'�� <br />.F��.i:Ez- � ac,'a�: - � :'�� fir. .fi�:'l. � ..:;+� <br />Sump # 1, Sump # � <br />Sump # Sump # t. <br />Sump Diameter: 14 8 (4 ,1 <br />t.{ F 7,01 <br />Sump Depth: r7 o <br />? a <br />It it <br />Z/ <br />Sum p Material: bwff>g <br />T'A ",4r .Oo <br />R�nffi 'fid <br />�e °iPJ n �ij <br />Height from Tank Top to Top of <br />r <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />' ` <br />12, <br />Electrical Penetration: 31 <br />Condition of sump prior to testing: QY' <br />Y!or <br />'' <br />Portion of Sump Tested' <br />Does turbine shut down when <br />sump sensor detects liquid (both rl Yes ❑ No ❑ NA <br />�\ <br />[`Yes ❑ No ❑ NA <br />[1. -Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />' <br />product and water)?* <br />\ <br />Turbine shutdown response time <br />r <br />s <br />( <br />Is system programmed for fail-safe j2 -yes ❑ No ❑ NAP <br />shutdown?` <br />-yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Ves ❑ No ❑ NA <br />1, <br />Was fail-safe verified to be p Yes No ❑ NA <br />❑ Yes' .&No ❑ NA <br />❑ Yes ❑ No U NA <br />❑ Yes .b No ❑ NA <br />operational? <br />f <br />. . <br />Wait time between applying" <br />pressure/vacuum/,water starting <br />test. <br />Test Start Time: %,' �� }','� <br />/�J S" <br />Initial Reading (Rj):� <br />Test End Time: <br />m ( ` <br />Final Reading (RF):.. <br />r. <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria:,r..-4Fz <br />' <br />Test Result: ❑'"Pass ❑ Fail <br />;13' Pass ❑ Fail <br />b—Pass ❑ Fail <br />El- Pass ❑ Fail <br />Was sensor removed for testing? 0I Yes ❑ No ❑ NA <br />0 Yes ❑ No ❑ NA <br />b Yes ❑ No ❑ NA <br />1i Ves ❑ No ❑ NA <br />Was sensor properly replaced and Dyes ❑ No ❑ NA <br />Q`Yes ❑ No ❑ NA <br />b Yes ❑ No ❑ NA <br />0 Yes ❑ No ❑ NA <br />verified flmctional after testi-a? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />i <br />If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (*) is "NO" =.)r "NA", the entire sump -must he tested. (See S',NRC'£ I -G-160) <br />
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