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COMPLIANCE INFO_2009-2013
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PR0232494
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COMPLIANCE INFO_2009-2013
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Last modified
11/14/2023 12:52:58 PM
Creation date
6/3/2020 9:57:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2013
RECORD_ID
PR0232494
PE
2361
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232494_7373 WEST_2009-2013.tif
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EHD - Public
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SWRCB, January 2002 <br />6. PIPING SUMP TESTING <br />Page "[ of __7 <br />Test Method Developed By: 0 Sump Manufacturer ❑ Industry Standard Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum drostatic <br />❑ Other (Spec) <br />Test Equipment Used: *moi,,. te%us„l eti 6 G <br />Equipment Resolution:, o a <br />Sump #Sump # <br />°tSump # ;` Sump # <br />Sump Diameter: 42- <br />Sump Depth: <br />S`Z ei <br />Sump Material: <br />i (� &. y <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />2 0 ' <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />2-3 ` <br />B' <br />Condition of sump prior to testing: <br />"D ✓ <br />Portion of Sump Tested' <br />�e�¢eX B o,At C 2 5 ry <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />❑ Yes ❑ NoNA <br />❑ Yes o ❑ NA <br />❑ Yes �No ❑ NA <br />❑ Ye ❑ ❑ NA <br />roduct and water)?* <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />❑ Yes ❑ No A <br />shutdown?` <br />❑ YesNo ❑ NA <br />❑Yes ❑ o ❑ NA <br />❑Yes VNo ❑ NA <br />Was fail-safe verified to be <br />❑ Yes ❑ No kNA <br />operational?* <br />❑ Yes No ❑ NA <br />❑ Y ❑ o ❑ NA <br />❑ Yes No ❑ NA <br />Wait time between a lying <br />pressure/vacuupCWate land starting <br />test: <br />to rM -c-S <br />Test Start Time: <br />1 „44 g <br />Initial Reading (RI): <br />4- Gw� t_ <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (Rr-RI): <br />N v <br />Pass/Fail Threshold or Criteria: <br />o a 5 13 0 t� w -- <br />Test Res.ultt <br />Pass ❑Fail: <br />Pass ❑ i1 <br />❑ Pass.. ❑ F' 'il <br />Passe . O h <br />Was sensor removed for testing? <br />s ❑ No ❑ NA <br />F Yes ❑ No ❑ AYes <br />11No +11A <br />Yes ❑No ❑IA❑Was <br />/0 <br />sensor properly replaced and <br />es ❑No ❑NA <br />Yes ❑No ❑ <br />❑Yes ❑No <br />Yes ❑ No ❑ <br />verified functional after testin ? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed 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 />M <br />
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