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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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rt <br />ri U L: i <br />S WRCB, January 2002 OCT 21 2013 Page _4 of _7 <br />6. PIPING SUMP TESTING <br />Test Method Developed By: ❑ Sump Manufacturer ® Industry Sta ngineer <br />❑ Other (Spec) HEALTH D A 1T�r,�cNT <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: INCON SUMP TESTER <br />Equipment Resolution: + / - 0.002" <br />Sump # 87 <br />Sump Diameter: 48" <br />Sump # 91 <br />Sump # DIESEL <br />Sump # WASTE OIL <br />48" <br />48" <br />48" <br />Sump Depth: 74" <br />72.50" <br />80" <br />75" <br />Sump Material: FIBERGLASS <br />FIBERGLASS <br />FIBERGLASS <br />FIBERGLASS <br />Height from Tank Top to Top of 23.50" <br />Highest Piping Penetration: <br />28" <br />22.50" <br />33" <br />Height from Tank Top to Lowest 36" <br />Electrical Penetration: <br />36" <br />41" <br />26" <br />Condition of sump prior to testing: DRY <br />DRY <br />DRY <br />DRY <br />Portion of Sump Tested' ABOVE <br />PENETRATIONS <br />ABOVE <br />PENETRATIONS <br />ABOVE <br />PENETRATIONS <br />ABOVE <br />PENETRATIONS <br />Does turbine shut down when <br />sump sensor detects liquid (both ❑ Yes ❑ No ® NA <br />product and water)?` <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA <br />Turbine shutdown response time NIA <br />N/A <br />N/A <br />N/A <br />Is system programmed for fail-safe <br />❑ <br />shutdown?* Yes [:]No ®NA <br />❑Yes ❑ No ®NA <br />❑Yes [:]No ®NA <br />❑Yes ❑ No ®NA <br />Was fail-safe verified to be <br />fail-safe [--]Yes ❑ No ®NA <br />operational?* <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No ®NA <br />Wait time between applying <br />pressure/vacuum/water and starting 10 MIN <br />test: <br />10 MIN <br />10 MIN <br />10 MIN <br />Test Start Time: 11:15 AM <br />11:15 AM <br />10:57 AM <br />11:33 AM <br />Initial Reading (Rj): 1.8826" <br />3.8402" <br />5.1676" <br />5.8251" <br />Test End Time: 11:31 AM <br />11:31 AM <br />11:12 AM <br />11:48 AM <br />Final Reading (RF): 1.8827" <br />3.8402" <br />5.1674" <br />5.8258" <br />Test Duration: 15 MIN <br />15 MIN <br />15 MIN <br />15 MIN <br />Change in Reading (RF -R,): 0.0001" <br />0.0000" <br />- 0.0002" <br />0.0007" <br />Pass/Fail Threshold or Criteria: +1-0.00211 <br />+/-0.002" <br />+/- 0.002" <br />+/- 0.002" <br />Test Result: ® Pass ❑ Fail ° <br />® Pass ❑ Fail <br />N Pass ❑ Fail <br />ED Pass ❑ Fail <br />Was sensor removed for testing? ® Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />®Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testin ? ®Yes ❑ No ElNA <br />®Yes ElNo ElNA <br />®Yes ElNo ❑ NA <br />®Yes ❑ No ❑ 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 />' 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" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />
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