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COMPLIANCE INFO_2013-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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{ 0 • <br /> SWRCB,6anuary 2002 Page of <br /> 7. UNDER-DISPENSER CONTAINMENT(UDQ TESTING <br /> Test Method Developed By: fJ UDC Manufacturer X Industry Standard Professional Engineer <br /> r�Other(Specifi) <br /> Test Method Used: I Pressure IN Vacuum X Hydrostatic <br /> Other(,Specifi-) <br /> Test Equipment Used: INCON SUMP TESTER Equipment Resolution: .002 <br /> UDC# 1-2 UDC#3-4 UDC# UDC# <br /> UDC Manufacturer: it <br /> UDC Material: FIBERGLASS FIBERGLASS <br /> UDC Depth: 10" 10" <br /> Height from UDC Bottom to Top N/A N/A <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to N/A N/A <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to GOOD GOOD <br /> testing: <br /> Portion of UDC Tested' ALL ALL <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both X Yes 7 No NA X Yes I-3 No NA YES I!No NA Yes No NA <br /> product and water)?* <br /> Turbine shutdown response time AUTOMATIC AUTOMATIC _ <br /> Is system programmed for fail- <br /> safe shutdown?' X Yes-1 No E NA X Yes )No NA Yes =i No i NA Yes ! No NA <br /> Was fail-safe verified to be ,, <br /> s <br /> op rational?* n Cn ._a fvU ? vn n o VS Ivo �v ua s_i No i_ ivn c 5 ! No NA <br /> Wait time between applying 15 MINUTES 15 MINUTES <br /> pressure/vacuum/water and <br /> starting test <br /> Test Start Time: 1:12 P.M. 1:12 P.M. <br /> Initial Reading(Rr): 0.6392 0.2154 <br /> Test End Time: 1:27 P.M. 1:27 P.M. <br /> Final Reading(RF): 0.6391 0.2158 <br /> Test Duration: 15 MINUTES 15 MINUTES <br /> Chan a in Reading(Rr-Rj): 0.0001 0.0004 <br /> Pass/Fail Threshold or Criteria: .002 .002 <br /> Test Result: X Pass ❑Fail X Pass ❑Fail Pass ❑ Fail Pass ❑Fail <br /> Was sensor removed for testing? X Yes t1 No NA X Yes J No X NA i]Yes Lj No NA Yes . No NA <br /> Was sensor properly replaced arra <br /> verified functional after testis ? X Yes F1 No NA X Yes 1,,1No X NA Yes I No NA Yes No NA <br /> C4ittt[1Cnts �iiiCfiiva iii ur'iieuiiv'ii Cif i'� a:, iiiuoiC "i'ivi'iii iC.Siiii Eiiiu i'ECiiliiiit"GF7ci%E�ytE(ilt-If Oi QfiGLI�(e5'lS <br /> r J & J p f .f ) <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`TIO"or"NA",the entire UDC must be tested. (See SWRCB LG-160) <br />
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