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COMPLIANCE INFO_2005-2012
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231401
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COMPLIANCE INFO_2005-2012
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Last modified
11/19/2024 10:19:32 AM
Creation date
6/3/2020 9:48:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2012
RECORD_ID
PR0231401
PE
2361
FACILITY_ID
FA0006388
FACILITY_NAME
KWIK SERVE
STREET_NUMBER
950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406002
CURRENT_STATUS
01
SITE_LOCATION
950 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231401_950 W ELEVENTH_2005-2012.tif
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EHD - Public
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WRC January 2002 <br />Page of <br />7. UNDER -DISPENSER CONTAINMENT UDQ TESTING- <br />TuSL Method Developed 13y: C. i UDC Manufacturer 1.7 IndustryStandard EPrafessional Erigincer <br />CJ Other 61?pec.ijY) <br />ThKt Method Uicd: D Pressurc Ci Vacuum Z+Iydrostatic <br />L] 0thor <br />Test Equipment Used - <br />T luipment Kesolution: <br />'If the entire depth of the UDC is rink tested, specify how MUCh was teSt%:L]. If the answer toIm <br />asterisk (*) is "NO" or "NA", the; entire UDC must be tested. (See SWRCB LG -160) ly of the questions indicated with an <br />80 39VJ 3AH3SAIMA Z90ZZE860Z VZ:TO 800Z/GT/90 <br />UDC: 8 <br />-.7 <br />UDC'# <br />UDC# <br />UDC manhiNcturer: <br />UD <br />i UDC Material, <br />UDqke <br />fluight Itom UDI P <br />ottoin to T� <br />Of Highest Piping Penetration: <br />Height from UDC 13oltnn, tn <br />Lowest Electrical Penctration: <br />Condition oftji)� prior <br />mstim_ <br />Portion Of UDC Tested <br />Doesturbine Shut �down when _ <br />—_ — - <br />1�1 <br />UDC sensor detects liquid (both <br />rodu "I and water)?' <br />D Yes 171 No 011 6A <br />.7 Yes l'i No �XA <br />C] yes "A <br />Ll Yes <br />..P <br />i--. <br />Ll No RNA <br />'Turbine: shutdown nK. <br />, powie time <br />— <br />Is System Programmed for fail- <br />safe shutdown'?* <br />L Yes R No PN'A <br />0 Yes D No t;*A <br />ONO E'3<A <br />(a Yes 17No 14A <br />War. Fdil-54ft: Vcrilled To be <br />0 crational? <br />0 Yes 0 No FfJ <A <br />I]Yes LINO �AA <br />F1 Yes 0 No I;R6 <br />D Yes 11 N�cNA <br />Wait time briween applying <br />pressure/vacuum/water and <br />startin r test <br />Test StArtljmu: <br />Initial Reading <br />fest End Time: <br />Duration- <br />— ------ <br />Clean gein Re ine Mr- <br />e <br />1;7fj <br />z <br />Pass/Fail Threshold or Critcria: <br />Test Result: <br />Was sensor removed for testing?0 <br />assD Fail <br />9;'Yes 11 No D NA <br />fI4S 0 FailEKP&ss <br />L1 IN40 <br />--Fr ass U Pail <br />Was sensor properly replaced and <br />I?Gs N—o— <br />NA <br />2-1m C1 No ❑0 NA <br />LA. -es Ej No FJNA <br />verified funr I finna I after testin <br />No 0 NA <br />�Lypq F] No CNA <br />-?V*3 LJNO uNA <br />,QXeS QN0 LNA <br />COMinents — (include 4brmation <br />on re airs made prior to <br />testing, and recommendtdfbll,)w-uo.forfailetI <br />tosts) <br />'If the entire depth of the UDC is rink tested, specify how MUCh was teSt%:L]. If the answer toIm <br />asterisk (*) is "NO" or "NA", the; entire UDC must be tested. (See SWRCB LG -160) ly of the questions indicated with an <br />80 39VJ 3AH3SAIMA Z90ZZE860Z VZ:TO 800Z/GT/90 <br />
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