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COMPLIANCE INFO_2016-2017
EnvironmentalHealth
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JACK TONE
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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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-4, <br />SWRCB, January 2002 DCC 0 8 2016 Page Q- o& <br />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING o A <br />Test Method Developed By: <br />O UDC Manufacturer <br />IA Industry N ivl isic � ngmeer <br />O Other (Spec6) <br />F `tisT <br />Test Method Used: <br />O Pressure <br />O Vacuum IN Hydrostatic <br />0 Other (specify) <br />Test Equipment Used: INCON- TS -STS <br />Equipment Resolution: +/-0.002" <br />UDC # 16 <br />UDC # UDC # UDC # <br />UDC Manufacturer: <br />Unknown <br />UDC Material: <br />Fiber lass <br />UDC Depth: <br />30" <br />Height from UDC Bottom to Top <br />10" <br />of Highest PipWS Penetration: <br />Height from UDC Bottom to <br />15" <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />pry <br />testin <br />Portion of UDC Tested <br />26" <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />O Yes ONo iB NA <br />O Yes O No ® NA 0 Yes ❑ No IN NA U Yes ONO <br />Ili NA <br />induct and water)?' <br />Turbine shutdown res once time <br />Is system programmed for fail- <br />safe shutdown?` <br />O Yes ONo ®NA <br />O Yes ONo IN NA ❑ Yes 0 No lig NA O Yes O No <br />19 NA <br />Was fail-safe verified to be <br />operational?* <br />O Yes ONo [ANA <br />O Yes ONo O NA O Yes ONo ®NA O Yes O No <br />11 NA <br />Wait time between applying <br />pressure/vacuum/water and <br />15 minutes <br />starting test <br />Test Start Time: <br />11:53am <br />Initial Reading r : <br />2.8909 <br />Test End Time: <br />12:08pm <br />Final Readin <br />2.8909 <br />Test Duration: <br />15 minutes <br />Chane in R F- • <br />0.0000 <br />Pass/Fait Threshold or Criteria: <br />+/-0.002" <br />'Test.Resul(::: ' `.:... `:: ; `: ': <br />® Pass O Fait <br />0 Pass . O Fait O Pass `O Falt `: O Pass O Fail . <br />Was sensor removed for testing? <br />Ig Yes ONo O NA <br />O Yes ONo W NA O Yes O No 11 NA O Yes ONO <br />RNA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />I IN Yes ONo O NA <br />11 Yes ONo SNA ❑Yes ❑ No 1M NA O Yes ONo <br />119NA <br />Comments — (include information on repairs made prior to testing, and recommendedfodlow-up forfailed tests) <br />r If the entire depth of the UDC is not tested, specify how much was tested. If the answer to -M 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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