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COMPLIANCE INFO 2011 - 2016
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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PR0231405
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COMPLIANCE INFO 2011 - 2016
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Last modified
5/29/2019 11:37:37 AM
Creation date
10/29/2018 2:53:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 2011 - 2016
FileName_PostFix
2011 - 2016
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
A ONE GAS & FOOD
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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ACDEH,August 2003 Page of <br /> 6. PIPING SUMP TESTING <br /> Test Method Developed By: ❑Sump Manufacturer Industry Standard x Professional Engineer <br /> E,Other(Specify) <br /> Test Method Used: ❑Pressure n!Vacuum xHydrostatic <br /> ❑Other(Sped) <br /> Test Equipment Used:In-Con TS-STS Equipment Resolution:+-.002" <br /> Sump# -7 Sump# 9/ Sump# Sump# <br /> Sump Diameter: 4/ <br /> y <br /> Sump Depth: <br /> Sump Material: �. <br /> Height from Tank Top to Top of / ;, „ <br /> Hi est Piping Penetration: ,�. <br /> Height from Tank Top to Lowest / <br /> Electrical Penetration: <br /> Condition of sump prior to testing: <br /> Depth of Sump Tested <br /> Does turbine shut down when <br /> sump sensor detects liquid(both ZY'es -.-;No NA I ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> -product and water)?* <br /> Turbine shutdown response time 2 5cGo��3 �11 S4z,-�3 <br /> Is system programmed for fail-safe LAes --No -_NA 'Yes ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA <br /> shutdown?' <br /> Was fail-safe verified to be es No ❑NA es ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> -operational?* <br /> Wait time between applying <br /> pressure/vacuum/water and starting <br /> test: <br /> Test Start Time: <br /> Initial Reading(Ri): s; 43(_3 5- .,P >3111 <br /> Test End Time: 5/ <br /> Final Reading(RF): <br /> Test Duration: `.s�,.=,..4 i- <br /> Change in Reading(RF-Ri): f _ � <br /> Pass/Fail Threshold or Criteria: :; ,Z <br /> Test Result: ass ❑Fail ss ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? es �-No NA S es D No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and „yam es ❑No '_-NA des ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments-(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> �z i-9 2M <br /> ENVIRGNMENTAL HEALTH <br /> DEPARTMENT <br />
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