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COMPLIANCE INFO_2016-2017
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2016-2017
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Last modified
8/11/2021 8:36:01 AM
Creation date
6/23/2020 6:57:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2017
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2016-2017.tif
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EHD - Public
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1 0 R6CEIVED <br />SWRCB, January 2002 AR 0 8 2017 Page 2 of 2 <br />7. UNDER -DISPENSER CONTAINMENT UD <br />Test Method Developed By: ❑ UDC Manufacturer ® Industry Stan-;;(fOffiffrigineer <br />❑ Other (Spec) DE <br />Test Method Used: ❑ Pressure ❑ Vacuum 'A Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: INCON TS -STS Equipment Resolution: +/- 0.002" <br />UDC # Di s . 14/15 UDC # UDC # UDC # <br />UDC Manufacturer: Unknown <br />UDC Material: Fiber lass <br />UDC Depth: 30" <br />Height from UDC Bottom to Top 13" <br />of Highest Piping Penetration: <br />Height from UDC Bottom to N/A - Not In UDC <br />Lowest Electrical Penetration: <br />Condition of UDC prior to D <br />testing: <br />Dry <br />Portion of UDC Tested' 17" <br />Does turbine shut down when <br />UDC sensor detects liquid (both ❑ Yes []No X NA ❑ Yes ❑ No A NA ❑ Yes ❑ No ® NA ❑ Yes ❑ No X NA <br />product and water)?* <br />Turbine shutdown response time N/A <br />Is system programmed for fail- ❑ Yes ❑No fA NA ❑ Yes ❑ No ® NA ❑ Yes ❑ No X NA ❑ Yes ❑ No ® NA <br />safe shutdown?* <br />Was fail-safe verified to be ❑ Yes ❑ No NINA ❑ Yes ❑ No ® NA ❑ Yes ❑ No ® NA ❑ Yes !❑ No X NA <br />operational?* <br />Wait time between applying <br />pressure/vacuum/water and 15min <br />starting test <br />Test Start Time: 10:39am <br />Initial Reading Rt): 5.3723" <br />Test End Time: 10:54am <br />Final Reading (RF): 5.3723" <br />Test Duration: 15min <br />Change in Reading (RF -RI): 0.000" <br />Pass/Fail Threshold or Criteria: +/- 0.002" <br />Test Result: ® Pass ❑ Fail 0 Pass D Fail ❑ Pass ❑ Fail ❑ Pass D Fail <br />Was sensor removed for testing? 9 Yes ❑No ❑ NA ❑ Yes ❑ No ® NA ❑ Yes ❑ No X NA ❑ Yes ❑ No ® NA <br />Was sensor properly replaced and ® Yes ❑No ❑ NA ❑ Yes ❑ No X NA ❑ Yes ❑ No X NA -]Yes ',]No X NA <br />verified functional after testin ? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Vapor piping chase secondary boot replaced, & band clamps tightened on all test boots before testing UDC. <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 "NO" or "IATA", the entire UDC must be tested. (See SWRCB LG -160) <br />
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