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COMPLIANCE INFO_2011-2018
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2300 - Underground Storage Tank Program
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PR0232224
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COMPLIANCE INFO_2011-2018
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Last modified
4/7/2021 10:16:11 AM
Creation date
6/3/2020 9:56:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_2011-2018.tif
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EHD - Public
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"EV113 "I <br />UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Pr <br />® Other (Specify) Caldwell Sump Tester <br />Test Method Used: ❑ Pressure ❑ vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Caldwell Sump Tester Equipment Resolution: 0.005 inches in <br />Comments - (include information on repairs made prior to testing, and recommended follow-up for failed <br />tests) <br />UDC #1 <br />UDC #2 <br />UDC #3 <br />UDC# <br />UDC Manufacturer: <br />Bravo <br />Bravo <br />Bravo <br />Bravo <br />UDC Material: <br />Plastic <br />Plastic <br />Plastic <br />Plastic <br />UDC Depth: <br />8 inches <br />8 inches <br />8 inches <br />8 inches <br />Height from UDC Bottom to <br />0 inches <br />0 inches <br />0 inches <br />0 inches <br />Top of Highest Piping <br />Penetration: <br />Height from UDC Bottom to <br />N/A <br />N/A <br />N/A <br />N/A <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />Dry <br />Dry <br />Dry <br />Dry <br />testing: <br />Portion of UDC Tested <br />6 inches <br />6 inches <br />6 inches <br />6 inches <br />Does turbine shut down when <br />❑ [:]No No ®N/A <br />❑Yes ❑No ®N/A <br />❑Yes ❑No ®N/A <br />❑Yes ❑No ❑N/A <br />UDC sensor detects liquid <br />Turbine shutdown response <br />3 sec <br />3 sec <br />3 sec <br />3 sec <br />time <br />Is system programmed for <br />❑Yes [:]No ®N/A <br />❑Yes [:]No ®N/A <br />❑Yes [-]No ®N/A <br />❑Yes ❑No ❑N/A <br />fail-safe shutdown <br />Was fail-safe verified to be <br />❑Yes ❑No ®N/A <br />❑Yes ❑No ®N/A <br />❑Yes ❑No ®N/A <br />❑Yes ❑No [-]N/A <br />operational <br />Wait time between applying <br />pressure/vacuum/water and <br />5 minutes <br />5 minutes <br />5 minutes <br />5 minutes <br />starting test <br />Test Start Time: <br />11:00 am <br />11:30 am <br />12:00 prn <br />12:30 pm <br />Initial Reading (R): <br />2nd Ring <br />2"d Ring <br />2nd Ring <br />2"d ring <br />Test End Time: <br />11:30 am <br />12:00 pm <br />12:30 prn <br />1:00 pm <br />Final Reading (RF): <br />2"d Ring, <br />2nd Ring <br />2nd Ring <br />2nd ring <br />Test Duration: <br />30 minutes <br />30 minutes <br />30 minutes <br />30 minutes <br />Change in Reading (R, -R,): <br />0 Change <br />0 Chane <br />0 Chane <br />0 Change <br />Pass/Fail Threshold or Criteria: <br />0.005 inches in 1/2 <br />0.005 inches in <br />0.005 inches in 1/20'.005 <br />inches in 1/2 <br />hour <br />1/2 hour <br />hour <br />hour - <br />Test Result: <br />Pass Fail <br />Pass <br />Pass Fail <br />Pass Fail <br />Fail <br />Was sensor removed for <br />❑Yes [:]No ®N/A <br />❑Yes [-]No ®N/A <br />❑Yes MNo ZN/A <br />❑Yes ❑No NN/A <br />testing? <br />Was sensor properly replaced <br />and verified functional after <br />❑Yes [-]No ®N/A <br />[-]Yes [:]No ®N/A <br />❑Yes ❑NoZN/A <br />❑Yes ❑No ®N/A <br />testing? <br />Comments - (include information on repairs made prior to testing, and recommended follow-up for failed <br />tests) <br />
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