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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
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231348_601 E KETTLEMAN_2006-2015.tif
Tags
EHD - Public
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e,uau c ul aceeain <br />Pass/ftail.Threshold or -Criteria: . DO 30 k rm 0094e 3on2o�- <br />Was sensor removed for testi <br />n$'l [ "Ybs U No U NA es U No U NA UY U No U NA U Y U No U <br />Was sensor properly replaced and es U NoU NA <br />verified functional after testing? Yes U No U NA U Yes U No U Yes U No U NA. <br />Comments - Include Irtormation on repairs made rior to testln and recommendedfollow-u or affect tests) <br />1 -If the entire depth of the UDC is not tested, specify how much was tested- If the answer to au of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />SWkCB, January 2002 <br />(' 2 <br />Page of <br />7. UNDER -DISPENSER CONTAINMENT UDC) TESTING E <br />Test Method Developed By: <br />U UDC Manufacturer U Industry Standard rofessional Engineer <br />U Other (Spec) <br />Test Method Used: <br />U Pressure <br />U Vacuum <br />X-1Iydrostatic <br />U Other (Sped ) <br />Test EquipmentUsed: (f4t' ��/ C �. .dieu uY <br />Equipment Resolution: &,z3 3dynr. <br />UDC Manufacturer: <br />t) <br />UDC # t f / <br />UDC # UizC # <br />t�c� vv <br />e -a vv <br />UDC Material: <br />UDC --UDC <br />Height from to Top <br />of H' est Pin Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />e <br />Condition of UDC prior to <br />testing: <br />ftrtion of UDC Tested <br />!s✓ � L.e r �t l / 3 r <br />1,,�� v LeaGL l � v <br />r <br />Does turbine shut down when <br />• es U No U NA <br />)<,Y <br />UDC sensor detects liquid (both <br />). <br />U No U NA <br />U Yes U 1' o U NA U Yes o U NA <br />roduct and water)?' <br />/ <br />Turbine shutdown response time <br />�-e-c <br />Is sYm programmed for fail-J'Yes <br />U No U NA <br />' <br />safe shutdown?0 <br />Yes U No UY <br />U o U NA U Yes L q U NA <br />Was fail-safe veiffied td be <br />o rational?` <br />U o U NA <br />/k�y�yes N <br />,l�-Yes U No U NA <br />U Y U Io U NA U Yes L o U NA <br />Wait time between a lying <br />pressure/vacuum/ and <br />starting test1�,6}'/'t <br />c p �r! <br />Test Start Time: <br />Z_ , <br />Initial Readin 1 : <br />'Cr Geyer <br />�r <br />Test End Time: <br />e,uau c ul aceeain <br />Pass/ftail.Threshold or -Criteria: . DO 30 k rm 0094e 3on2o�- <br />Was sensor removed for testi <br />n$'l [ "Ybs U No U NA es U No U NA UY U No U NA U Y U No U <br />Was sensor properly replaced and es U NoU NA <br />verified functional after testing? Yes U No U NA U Yes U No U Yes U No U NA. <br />Comments - Include Irtormation on repairs made rior to testln and recommendedfollow-u or affect tests) <br />1 -If the entire depth of the UDC is not tested, specify how much was tested- If the answer to au of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />
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