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COMPLIANCE INFO_2002-2015
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2300 - Underground Storage Tank Program
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PR0231065
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COMPLIANCE INFO_2002-2015
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Last modified
11/9/2022 2:10:00 PM
Creation date
6/23/2020 6:40:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2015
RECORD_ID
PR0231065
PE
2361
FACILITY_ID
FA0003699
FACILITY_NAME
DSS COMPANY
STREET_NUMBER
655
Direction
W
STREET_NAME
CLAY
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14707110
CURRENT_STATUS
01
SITE_LOCATION
655 W CLAY ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231065_655 W CLAY_2002-2015.tif
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EHD - Public
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SWRCB, January 20026. PIPING SUMP TESTING 0 z Page A-- of _:I <br />Test Method Developed By: 0 Sump Manufacturer 0 Industry Standard If I Professional Engineer <br />— <br />11 Other (Specify) <br />Test Method Used: 0 Vacuum.,_ � Hydrostatic <br />El Other (Speck) <br />Test Equipment Used: Equipment Resolution: , n6j 4 <br />Sump # 1 <br />Sump <br />Sump # f <br />SUMP # <br />Sump Diameter: <br />Sump Depth: <br />Sump Material: r <br />Height from Tank Top to Top of f <br />lo i'4 <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 />— ') L <br />Does turbine shut down when <br />sump sensor detects liquid (both b� es 11 No El NA <br />Yes 0 No [INA <br />11 Yes 0' N� 0 NA <br />0 Yes, C No 0 NA <br />product and water)?* <br />i <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />�Nes 0 No 0 NA <br />rjYes 0 No DNA <br />0 Yes 0 No DNA <br />0 Yes 0 KNo 101 INA <br />shutdown?* <br />Was fail-safe verified to be <br />0 Yes, -qNo NA <br />operational?*. 0 <br />Wes 0 No DNA <br />0 Yes 0 N6 0 NA <br />11 Yes 0 No D,NA <br />Wait time between applying <br />pressure/vacuumAwatprind starting <br />test: <br />Test Start Time: <br />5 5 <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF): <br />% <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or Criteria: r <br />ti <br />Test Result: E� Pass 0 Fail <br />0' Pass 0 Fail <br />0 Pass 0 Faill. <br />0 Pass 0 Fail <br />Was sensor removed for testing? Al(es 0 No 0 NA <br />11 Yes 0 No 0 NA <br />'DYes DNo DNA- <br />DYes, DNo, DNA <br />Was sensor properly replaced and <br />verified functional after testin? Z Yes 0 No 0 <br />0 NA `l, <br />0 Yes C, No 0 NA <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 nitich was tested. If the answer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NA'', the entire sump traist he test(A (See SWRCB I.G - 160) <br />
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