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COMPLIANCE INFO_2003-2005
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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
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EHD - Public
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' If the entire depth of the sump is not tested specify how much was tested. if the answer to any of the questions iodieated with an <br />' ti ff f6 )D <br />f <br />�S t <br />SWRCB, January 2002 <br />page of <br />6. PIPING Sube TE <br />Test Method Developed By: <br />Sump Manufacturer <br />In Stan <br />Professional i3ngineer <br />Other (8pectfy) <br />` <br />Test Method Used: <br />Pressure <br />Vacuum <br />y <br />Other ff <br />Test Equipment Used. r <br />...- f <br />Equipment Resolution: <br />3unap #j"7 Wj&4'A <br />eSumpi # <br />Sump # <br />sump # <br />Sump Diameter: <br />u. <br />Sump Depth: <br />Sump Material. <br />Height from Tank Top to Top of <br />Highest Pipins Penetration: <br />. <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />Portion of Sunup Tested' <br />.� <br />Does turbine shut dower when <br />sump sensor detects liquid (both <br />No NA <br />Yes No NA <br />Yes <br />No NA Yes No NA <br />duct and water ?� <br />Turbine shutdown response time <br />Is system programmed for ihil-safe <br />shutdutdoown?' <br />No NA <br />Yes No NA <br />Yes <br />No NA Yes No NA <br />Was fail-safe verified w be <br />O tlOnal?e <br />No NA <br />. <br />Yes No NA <br />Yes <br />No NA Yes No NA <br />Walt time between applying <br />" <br />pressure/vacuum/water and starting <br />test: <br />Test Start Time: <br />Initial Reading (RO: <br />% y <br />Test End Time: <br />Final Reading (Rr): <br />Test Duration: <br />Change in Reading (RP -RI): <br />PassMall Threshold or Criteria: <br />..�, <br />`Test Rea,ult: <br />❑ Pass kfall <br />❑ Pass D Fail <br />❑ Pass <br />D Fail ❑ Pau Dli <br />Was sensor removed for testing? <br />g7 No NA f <br />es No NA <br />Yes <br />No NA Yes No NA <br />Was sensor properly replaced and <br />verified functional of er test3n 7 <br />N® NA <br />Yes No NA <br />Yes <br />No NA Yes No NA <br />Comments — (include fnjarmation on repairs made prior to testing, and recommended follow-up jor fadled tests) <br />' If the entire depth of the sump is not tested specify how much was tested. if the answer to any of the questions iodieated with an <br />' ti ff f6 )D <br />f <br />�S t <br />
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