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COMPLIANCE INFO_2009-2013
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2009-2013
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Last modified
11/14/2023 1:49:50 PM
Creation date
6/3/2020 9:56:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2013
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\1777\PR0232397\PERMANENT INJUNCTION 05-11-11.PDF
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EHD - Public
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SWRCB, January 2002 <br />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />Page S__ of a <br />Test Method Developed By: <br />0 UDC Manufacturer <br />❑ Industry Standard <br />Professional Engineer <br />0 Other (Specify) <br />Test Method Used: <br />❑ Pressure <br />0 Vacuum <br />Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: <br />Equipment Resolution: <br />=, _ <br />UDC # <br />UDC # <br />UDC # <br />UDC # <br />UDC Manufacturer: <br />UDC Material: <br />UDC Depth: <br />Height from UDC Bottom to Top <br />of Hi est Piping Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testin : <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />Yes No NA <br />Yes No NA <br />Yes No <br />NA Yes No <br />NA <br />and water)?* <br />-product <br />Turbine shutdown response time <br />Is system programmed for fail- <br />Yes No NA <br />Yes No NA <br />Yes No <br />NA Yes No <br />NA <br />safe shutdown?* <br />Was fail-safe verified to be <br />o erationalf <br />Yes No NA <br />Yes No NA <br />Yes No <br />NA Yes No <br />NA <br />Wait time between applying <br />water and starting test <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Pass ❑ Fail <br />Pass 0 Fail <br />Pass <br />0 Fail Pass 0 Fail <br />Was sensor removed for testing? <br />Yes ❑ No ❑ NA <br />Yes ❑ No [INA <br />Yes 0 No <br />0 NA Yes 0 No <br />0 NA <br />Was sensor properly replaced and <br />Yes ❑ No 0 NA <br />Yes ❑ No ❑ NA <br />Yes ❑ No <br />❑ NA Yes ❑ No <br />❑ NA <br />verified functional after testin ? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />No UDC'S. <br />' If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG -160) <br />
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