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COMPLIANCE INFO_2014-2018
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PR0232494
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COMPLIANCE INFO_2014-2018
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Last modified
10/23/2023 1:27:31 PM
Creation date
6/3/2020 9:57:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2018
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_2014-2018.tif
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EHD - Public
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Test Method Developed By: LW mp Manufacturer ® Industry Standard! ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Incon Sump Tester Equipment Resolution: +/- 0.00299 <br />Sump Diameter: <br />Sump Depth: <br />Sump Material: <br />_Height from Tank Top to Top of <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />Portion of Sump Tested' <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />product and water)?* <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />Sump # Diesel Sump # <br />42" <br />60" <br />Fiberglass <br />24" <br />27" <br />Good <br />2" Above Pen. <br />Sump # I Sump # <br />❑ Yes ❑ No U NA I ❑ Yes ❑ No ®NA I ❑ Yes ❑ No ®NA I ❑ Yes ❑ No U NA <br />IME <br />❑ Yes ❑ No ® NA I ❑ Yes ❑ No ® NA 1 ❑ Yes ❑ No N NA I ❑ Yes ❑ No ® NA <br />p Was fail-safe verified to be u ❑ Yes ❑ No ® NA ❑ Yes ❑ No ® NAI ❑ Yes ❑ No ® NA ❑ Yes ❑ No ® NA II <br />II operational?" II H <br />pressure/vacuum/water and starting <br />test: <br />30 minutes <br />Test Start Time: <br />11:44 AM <br />12:02 PM <br />Initial Reading (Rz): <br />4.7661 <br />4.6898 <br />Test End Time: <br />11:59 AM <br />12:17 PM <br />Final Reading (RF): <br />4.7016 <br />4.6454 <br />Test Duration: <br />15 min. <br />15 min. <br />Change in Reading (RF -RI): <br />-0.0645 <br />-0.0444 <br />Pass/Fail Threshold or Criteria: <br />+/-0.002" <br />Test Result: <br />Pass <br />Was sensor removed for testing? <br />Yes <br />Was sensor properly replaced and <br />verified functional after testin ? <br />Yes <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Sensor functionality was not confirmed. This procedure is not part of the Secondary Containment Testing scope of work. <br />' If the entire depth of the sump is not tested, specify how much was tested. If the answer to M 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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