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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 />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />T <br />Page S of <br />V ivivuiuu i,eveiopea try: <br />O UDC Manufacturer 0 Industry Standard <br />0 Professional Engineer <br />❑Other (Sped) <br />Te s ethod Used: <br />D Pressure <br />O Vacuum <br />0 Hydrostatic <br />0 Other (Spec) <br />Test Equi ent Used: <br />Equipment Resolution: <br />C # <br />"UDC # <br />UDC Manuf <br />UDC Material:UDC <br />De th: <br />7Botto <br />Height from UDof <br />7-7- <br />Hi est Pi inHeight <br />from UDLowest <br />Electrica <br />.7, <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />0 Yes) No 0 NA <br />\0 <br />Yes'" ❑ No DNA <br />❑ Yes 0 No <br />❑ NA <br />0 Yes 0 No 0 NA <br />roduct and water)?* <br />Turbine shutdown response time <br />Is system programmed for fail- <br />❑Yes ❑ No <br />safe shutdown?' <br />0 Yes ❑ No ❑ NA <br />0 Yes 0 No <br />❑ NA <br />O Yes 0 No ❑ NA <br />Was fail-safe verified to be <br />❑ Yes ON 0 NA <br />operational?' <br />❑ 0 No 0 NA <br />0 Yes ❑ No <br />0 NA <br />0 Yes ❑ No 0 NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />Test Site Time: <br />Initial Reading Rl): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading -(I <br />Pass/Fail Thresho or Criteria: <br />7`eSt R`e uit:' . <br />❑ :Pass ❑ Fail <br />Q. :Pass dfdl, <br />O Pass, . 0 Fail <br />Pass; 0 fail <br />Was sensor moved for testing? <br />❑ Yes O No ❑ NA <br />0 Yes O No DNA <br />❑ Yes O No <br />❑ NA <br />O Yes,, ONo O NA <br />LWas nsor properly replaced and <br />0 Yes 0 No 0 NA <br />ve ed functional after testing? <br />❑Yes ❑ No ❑ NA <br />❑Yes 0 No <br />DNA <br />❑Yes ❑ No <br />Comments — (include information on repairs made prior to testing and recommendedfollow-up forfailed tests) <br />tjv AA -0 GAS . <br />If the entire depth of the UDC is not tested, specify how much was tested. If the answer toany of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />M <br />
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