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COMPLIANCE INFO_2011-2018
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2300 - Underground Storage Tank Program
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PR0232418
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COMPLIANCE INFO_2011-2018
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Last modified
11/21/2023 2:16:02 PM
Creation date
6/23/2020 6:55:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0232418
PE
2361
FACILITY_ID
FA0004064
FACILITY_NAME
WATERLOO LIQUOR
STREET_NUMBER
2512
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14128102
CURRENT_STATUS
01
SITE_LOCATION
2512 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232418_2512 E WATERLOO_2011-2018.tif
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EHD - Public
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M,ar 2V 12 08:37a E1it <br />'V Contactors 12094 342 <br />p.4 <br />SWRCB, January 2002 <br />Pagpe� <br />of <br />7. UNDER -DISPENSER CONTAINMENT <br />! <br />C i.STING <br />Test Method Developed By: <br />_T <br />❑ UDC Manufacturer 13 Industry Standar . <br />D Professional Engineer <br />D Other (Spec) <br />Test Method Used: <br />D Pressure ❑ Vacuum <br />7Hydrostatic <br />D Other (Spec) <br />Test Equipment Used: <br />_ <br />Ecu anent Resolution: <br />�I <br />UDC # <br />UD4 <br />UDC # <br />UDC Manufacturer: <br />UDC Material: <br />_a <br />UDC De the <br />l <br />' " Yl)- <br />_ <br />Height <br />Height from UDC Bottom to Top <br />r, <br />of Highest Piping Penetration: <br />! 7 <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing, <br />Portion of UDC Tested <br />T <br />Does turbine shut down when <br />'UDC sensor detects liquid (both <br />2(Yes D No DNA td'Yes D No 0 NA <br />D X s DNo <br />❑ NA ❑ Yes D No <br />' D NA <br />product and water ?` <br />Turbine shutdown response time <br />_ <br />Is system programmed for fail- <br />_ <br />_safe shutdown?` <br />D Yes D No DNA D Yes ❑ No DNA <br />DY" D No <br />DNA D Yes DNo <br />DNA <br />Was fail-safe verified to be <br />_ <br />operational?* <br />D Yes DNo DNA _ .0Yes ❑ No ❑ NA <br />D Y , DNo <br />DNA ❑ Yes ❑ No <br />DNA <br />Wait time between applying <br />_ <br />pressure/vacuum/water and <br />starting test <br />Test Start Time: <br />_ <br />Initial Reading ): <br />_ <br />Test End Time: <br />Final Reading (RF): <br />a,L c✓ •rtj �� <br />Test Duration: <br />19 ¢l-je $1 e-1 g <br />T_ <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />_ <br />.T•a... ..... ...tx.>..toe;�.... :;F: .j&a' ..::. :.d—'+il':�',;� r:l r.S't:F,a..y: s;:xk"s::49• .: tc. : K¢Yre.i. ..�: <br />. Q(. .., yy1 YR+. Y,'.'S:• .nx: 4.".. ... h.....::i:sie«'R "y... %. >yt•::f .j, yM;. A:. +� ..'yr . (�7.. v:"? ;Y'.^t <br />L"tl[';""'' <br />Was sensor removed for testing? <br />f fy?'s DNo ❑ NA``//es DNo DNA <br />D, DNo <br />DNA D Yes . DNo <br />DNA <br />Was sensor properly replaced and <br />F1 el <br />' <br />verified functional ager testin ? <br />Yes No DNA Yes DNo ❑ NA <br />D A DNo <br />DNA D Yes 0 No <br />❑ NA <br />Comments — (include information on repairs made prior to testing; and recommender.' l Clow -up <br />for failed tests) <br />If the entire depth of the UDC is not tested, specify how much was tested. If the answer tc jny of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />
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