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COMPLIANCE INFO_2016
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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
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Last modified
8/11/2021 10:45:06 AM
Creation date
6/23/2020 6:57:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016
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.tif
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EHD - Public
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C <br /> SWRCB,January 2002 Page 12 of 12 <br /> 7. UNDER-DISPENSER CONTAINMENT(UDC)TESTING <br /> Test Method Developed By: ❑UDC Manufacturer X Industry Standard [=i Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum X.Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: INCON-TS-STS Equipment Resolution: +/-0.002" <br /> UDC# 16 UDC# UDC# UDC# <br /> UDC Manufacturer: Unknown <br /> UDC Material: Fiberglass <br /> UDC Depth: 30" <br /> Height from UDC Bottom to Top 10" <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to 15" <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to p <br /> testing: Dry <br /> Portion of UDC Tested' 26" <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both ❑Yes ❑No X NA ❑Yes ❑No 9 NA ❑Yes ❑No K NA ❑Yes ❑No X NA <br /> product and water)?* <br /> Turbine shutdown response time <br /> Is system programmed for fail- �❑Yes ❑No ®NA ❑Yes ❑No X NA ❑Yes CI No ©NA ❑Yes ❑No CX NA <br /> safe shutdown?` <br /> Was fail-safe verified to be <br /> operational?* [-[Yes ❑I No KNA [,!Yes `[No [x!NA i ,Yes ❑No X NA ❑Yes ❑No [X NA <br /> Wait time between applying <br /> pressure/vacuum/water and 15 minutes <br /> starting test <br /> Test Start Time: 11:53am <br /> Initial Reading(RI): 2.8909 <br /> Test End Time: 12:08pm <br /> Final Reading(RF): 2.8909 <br /> Test Duration: 15 minutes <br /> Change in Reading(RF-RI): 0.0000 <br /> Pass/Fail Threshold or Criteria: +/-0.002" <br /> Test Result: 19 Pass ❑Pail 0 Pass 0 Fail ❑ Pass ❑Fail ❑ Pass ©Fail <br /> Was sensor removed for testing? L Yes []No 0 NA ❑Yes ❑No X NA r Yes ❑No X NA ❑Yes ❑No ®NA <br /> Was sensor properly replaced and <br /> verified functional after testing? <br /> Yes ❑No F1 NA ❑Yes El No ! NA ❑Yes F1 No NA !-1 Yes ❑No XNA <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> NOV 3 <br /> NT <br /> - ST <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"NA",the entire UDC must be tested. (See SWRCB LG-160) <br />
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