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COMPLIANCE INFO_2003-2005
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0506796
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COMPLIANCE INFO_2003-2005
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Last modified
8/24/2021 1:15:55 PM
Creation date
6/23/2020 6:57:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2005
RECORD_ID
PR0506796
PE
2361
FACILITY_ID
FA0007634
FACILITY_NAME
ARCO AM PM #82602*
STREET_NUMBER
2430
STREET_NAME
JOE POMBO
STREET_TYPE
PKWY
City
TRACY
Zip
95376
APN
214-020-200-000
CURRENT_STATUS
01
SITE_LOCATION
2430 JOE POMBO PKWY
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0506796_2430 JOE POMBO_2003-2005.tif
Tags
EHD - Public
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' If the entife 0e0 0f tt c Sump is nOt tested, Specify how much was tested. If the answer to any of the questions indicated with an <br />• ti 9t h IN <br />al,, l <br />SWRCB, January 2002 <br />Fuge A— of t$ <br />� <br />6. PIPING Subw <br />Test Method Developed By: <br />Sump Manufacturer <br />Stan <br />Professional Enginwr <br />Other lsrc*l <br />`'----- <br />Test Method Used: <br />Pressure <br />vacuum <br />other ec <br />Test Equipment Used. tae y <br />•-- tYT <br />Equipment Resolution: <br />SumP # '? i'Ute,t A <br />Sump # <br />Jill <br />Sump # <br />Samp # <br />Sump D <br />If, <br />Sump Depth: <br />{- . <br />Sump Material: <br />d <br />Height from Tank Top to Top of <br />Iii est piping Penetration'- <br />- 1 <br />1Height ftom Tank Top to Lowest <br />Electrical Penetration: <br />f - <br />Condition of sump prior to testing <br />Portion of Swap Tasted,at <br />•� <br />Does turbine shut down wheat <br />sump sensor detects liquid (both <br />No NA <br />Yes No NA <br />Yes <br />No NA Yes No NA <br />product and water ?° <br />Turbine shutdown response time <br />Is system ed for fail-safe <br />shutdown?* <br />No NA <br />Yes No NA <br />Yes <br />No NA Yea No NA <br />Was fail-safe verified w be <br />i�s No NA <br />Ycs No NA <br />Yes <br />No NA Yes No NA <br />0 one17` <br />Wait time behvean applying <br />"py <br />ptossure/vacuum/water and stadingl <br />r ✓1, <br />test: <br />Test Start Time: <br />initial Reading W: <br />I ? <br />Test End Time: <br />4;0 L - <br />Final Rent (Rr): <br />Test Durathmi: <br />Change in Reading iRa' <br />. !90$ <br />Pass/Fan Threshold or Catena: <br />. e0o Z-1 <br />-Tiot Raoult: <br />❑ Pass kFail <br />❑ Pass D Fail <br />❑ Pass <br />D Fail ❑ Pan OEM <br />Was sells— removed for testing? <br />41&-> No NAYes <br />No NA <br />Yes <br />No NA Yes No NA <br />Was sensor properly replaced and <br />verified functional after Lestin <br />No NA <br />Yes No NA <br />Yes <br />No NA Yes No NA <br />Comments — include information on trs made prior to testier and !ecomtnendetd -upforfailedtosW <br />�a <br />' If the entife 0e0 0f tt c Sump is nOt tested, Specify how much was tested. If the answer to any of the questions indicated with an <br />• ti 9t h IN <br />al,, l <br />
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