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COMPLIANCE INFO 1994-2010
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231482
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COMPLIANCE INFO 1994-2010
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Last modified
9/12/2018 4:57:02 PM
Creation date
9/12/2018 4:47:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 1994-2010
FileName_PostFix
1994-2010
RECORD_ID
PR0231482
PE
2361
FACILITY_ID
FA0000720
FACILITY_NAME
MADSENS SUNRISE DAIRY
STREET_NUMBER
239
Direction
S
STREET_NAME
STOCKTON
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
25927805
CURRENT_STATUS
02
SITE_LOCATION
239 S STOCKTON ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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MAY -01-2003 09:16 AM <br />S\4 KL 0, ramrap• suus <br />Do LEE PUMP CO. <br />2097 9598 <br />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />P.05 <br />Page Z of Z <br />Test it Iediod Developed BY: <br />0 UDC ManuCtcturcr ndusiry Standard O ProfProfcssional Engineer <br />0 Other ( <br />raj <br />Tcst Method Used: <br />0 Pressure <br />0 Vacuum <br />-- fB�-lydrostatie <br />0 Other (S ecrik) <br />Test Equipment Used: ,$r% $73, / AtegrAl <br />Equiptnettl Resolution: <br />11 <br />UDC#I <br />UDC# <br />UDC# UDC# <br />UDC Manufacturer: <br />UDC Material: <br />F'Amc-AaIr <br />UDC Depth: <br />Height from UDC Bottom to Top <br />ot'HieitestPiping Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />sestina: <br />F'<+N <br />w'rsrV <br />PonionofUDCTested' <br />o <br />—`- <br />Does turbine shut down when <br />CDC sensor detects liquid (both <br />-J Yes C No <br />?NA <br />= Yes C No !fA <br />I -Yei --No CNA C Y'es C' No <br />l; N..A <br />productanti eater)? <br />Turbine $I Jaeun response time <br />iss�stcmprogranuuedCorfuil- <br />safe shutdown'? <br />CYes CNo <br />eNA <br />CYes CNo 'NA <br />OYcs iONo DNA CYes CNo <br />ENA <br />11'asfail-sateverified tobepYes <br />a erntional. <br />0No <br />F<A <br />I CYes UNo i7A <br />0Yes ONo 11 NA CYes :'No <br />❑NA <br />Wait time between applying <br />— �- <br />pressure/vacuumAvater and <br />starting test <br />IDAVAV <br />/ <br />Test Stan Time: <br />/O' <br />O.6 <br />_ <br />Initial Reading (R): <br />x0 <br />! 2. <br />_T <br />Test End Time: <br />/ O 9 <br />Final Reading (RF): <br />Tcsl Duration: <br />/„+ <br />i Chance in Rending (RF-Rl): <br />4 I0,000,7.+ <br />Pass/Fail Tlurshold or Criteria: <br />1 Test Result: - <br />Pass 0 <br />Fail <br />Fuss 0 Fail <br />_ <br />0 Pass :.0 Fail , 0 Pass0 Fail <br />Was sensor removed for testing? <br />C Yes 0 No <br />C NA 1 <br />C Yes 0 No C NA I <br />C Yes Ci No 0 NA C Ycs CNo <br />---NA <br />Was sensor properly replaced and <br />kcrilied functional aftertesdne? <br />❑Yes [:No <br />CNA <br />C 1'cs ONO CNA <br />CYes [I No DNA 0 Yes 0 No <br />C 1�A <br />Cont ments -- pnclude InformadDir on repairs stale prior it., iertlne and ream vended%a'ton'-tr W failed less) <br />If the entire depdt of the UDC is not tested, specify how much was tested. If dte answer to jn1 of the questions indicated with :w <br />asterisk M is "NO" or "NA", dic entire UDC must be lcsled, (See S%VRCB L0.160) <br />
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