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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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a 1 <br />SWRCB, January 2002 DEC 0 8 2016 Pagel d Of <br />I UNDER -DISPENSER CONTAINMENT.(UDg TESTING <br />Test Method Developed By: ❑ UDC Manufacturer IM Industry <br />D Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum (N Hydrostatic <br />D Other (Specify) <br />Test Equipment Used: INCOW TS -STS Equipment Resolution: +/-0.002" <br />VDC # 1-2 UDC # 3-4 UDC # 5-6 1 unr if 7-R <br />UDC Manufacturer. <br />Unknown <br />Unknown <br />Unknown <br />Unknown <br />UDC Material: <br />Fiber lass <br />Fiber lass <br />Fiberglass <br />Fiberglass <br />UDC Depth: <br />30" <br />30" <br />30" <br />30" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />12„ <br />13” <br />2 <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />811 <br />8.. <br />811 <br />8" <br />Condition of UDC prior to <br />testing: <br />Dry <br />Dry <br />Dry <br />Dry <br />Portion of UDC Tested <br />27" <br />26" <br />27" <br />25" <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />roduct and water)?` <br />D Yes ONO <br />DINA <br />❑ Yes D No <br />U1 NA <br />D Yes ❑ No <br />[a NA <br />❑ Yes D No <br />IN NA <br />Turbine shutdown response time <br />Is system progeammed for fail- <br />safe shutdown?` <br />D Yes ONo <br />[I NA <br />D Yes D No <br />R1 NA <br />❑ Yes ❑ No <br />NA <br />D Yes D No <br />NA <br />Was fail-safe verged to be <br />operational?* <br />❑ Yes 11 NO <br />SIA <br />D Yes D <br />9 NA <br />11No Yes D No <br />M NA <br />D Yes D No <br />I9 NA <br />Wait time between applying <br />pressure/vacuum/water and <br />_gartiM test <br />15 minutes <br />15 minutes <br />15 minutes <br />15 minutes <br />Test Start Time: <br />09:02am <br />08:03am <br />08:44am <br />10:08am <br />Initial Reading <br />4.4608 <br />3.6844 <br />2.3028 <br />1.6734 <br />Test End Time: <br />09:17am <br />08:18am <br />08:59am <br />10:24am <br />Final Reading RF : <br />4.4612 <br />3.6844 <br />2.3026 <br />1.6735 <br />Test Duration: <br />15 minutes <br />15 minutes <br />15 minutes <br />15 minutes <br />Change in Reading F- : <br />+0.0004 <br />0.0000 <br />-0.0002 <br />+0.0001 <br />Pass/Fail Threshold or Criteria: <br />+/-0.002" <br />+/-0.002" <br />+/-0.002" <br />+/-0.002" <br />Test Result <br />Pass ': ❑ Fail <br />.Pass : O Fail .' <br />®Pass 0 Fail <br />Ag. Pass ` ❑ Fail <br />Was sensor removed for testin <br />IlI Yes ONO <br />❑ NA <br />Ill Yes ❑ No <br />DNA <br />(Eyes ONO <br />❑ NA <br />WYes ❑ No <br />❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? Ud Yes DNo DNA IN Yes D No DNA INYes D No <br />Comments — (Include information on repairs made prior to tesft and recommendedfollow-up <br />DNA Ill Yes ❑ No <br />for failed tests) <br />❑ NA <br />I If the entire depth of the UDC is not tested, specify how much was tested. If the answer to my 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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