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COMPLIANCE INFO_2013-2017
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2013-2017
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Last modified
1/18/2023 1:49:12 PM
Creation date
6/3/2020 9:56:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2017
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_2013-2017.tif
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EHD - Public
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SWRCB, January 2002 <br />Cl <br />7 iTNnFR_nTCP1N NSF.R C ONTA"4MFNT (UDC) TESTING <br />Page _5_ of _8_ <br />Test Method Developed By: <br />_ ❑ UDC Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure <br />❑ Other (Spec) <br />❑ Vacuum <br />® Hydrostatic <br />Test Equipment Used: INCON SUMP TESTER <br />UDC # 112 <br />UDC Manufacturer: BRAVO <br />UDC # 3/4 <br />BRAVO <br />Equipment Resolution: + / - 0.002" <br />UDC # 516 UDC # 7/8 <br />BRAVO <br />BRAVO <br />UDC Material: <br />STEEL <br />STEEL <br />STEEL <br />STEEL <br />UDC Depth: <br />12" <br />12" <br />12" <br />12" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />3.5" <br />3.5" <br />3.5" <br />3.5" <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />N/A <br />N/A <br />N/A <br />N/A <br />Condition of UDC prior to <br />testing: <br />DIRTY <br />DIRTY <br />DIRTY <br />DIRTY <br />Portion of UDC Tested <br />2" ABOVE <br />PENETRATION <br />2" ABOVE <br />PENETRATION <br />2" ABOVE <br />PENETRATION <br />2" ABOVE <br />PENETRATION <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ®NA <br />[]Yes ❑ No ®NA <br />❑ Yes [--]No <br />®NA <br />Turbine shutdown response time <br />N/A <br />N/A <br />NIA <br />N/A <br />Is system programmed for fail- <br />safe shutdown?* <br />[:]Yes ❑No ®NA <br />❑ Yes [:]No ®NA <br />[]Yes ❑ No ®NA <br />❑ Yes ❑ No <br />®NA <br />Was fail-safe verified to be <br />o erational?* <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ®NA <br />❑ Yes [:]No <br />®NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />10 MIN <br />10 MIN <br />10 MIN <br />10 MIN <br />Test Start Time: <br />1:59 <br />1:59 <br />12:21 <br />12:57 <br />Initial Reading (111): <br />2.1725" <br />1.6677' <br />0.2366" <br />1.3844" <br />Test End Time: <br />2:14 <br />2:14 <br />12:36 <br />1:12 <br />Final Reading (RF): <br />2.1725" <br />1.6676" <br />0.2364" <br />1.3856" <br />Test Duration: <br />15 MIN <br />15 MIN <br />15 MIN <br />15 MIN <br />Change in Reading (RF-Ri): <br />0.0000" <br />-0.00011, <br />- 0.0002" <br />0.0012" <br />Pass/Fail Threshold or Criteria: <br />+1-0.00211 <br />+ I - 0.002" <br />+ / - 0.002" <br />+ I - 0.002" <br />Test Result: <br />® Pass ❑ Fail <br />10 Pass ❑ Fail <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />Was sensor removed for testing? <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No <br />®NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />Dyes ❑ No ®NA <br />❑Yes ❑ No ®NA <br />[]Yes❑ No ®NA <br />[:]Yes ❑ No <br />®NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />ABOVE IS THE LAST OF TWO BACK TO BACK 15 MINUTE TESTS <br />SENSOR FUNCTIONALITY WAS NOT CONFIRMED. THIS PROCEDURE IS NOT A PART OF SB989 TESTING. <br />` If the entire depth of the UDC is not tested, specify how much was tested. If the answer to as 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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