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COMPLIANCE INFO 2002-2006
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0518288
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COMPLIANCE INFO 2002-2006
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Last modified
2/25/2021 3:50:10 PM
Creation date
11/5/2018 9:14:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2006
RECORD_ID
PR0518288
PE
2361
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\3250\PR0518288\COMPLIANCE INFO 2002-2006.PDF
QuestysFileName
COMPLIANCE INFO 2002-2006
QuestysRecordDate
7/5/2017 7:22:22 PM
QuestysRecordID
3481896
QuestysRecordType
12
QuestysStateID
1
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EHD - Public
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SWRCB,January 2002 Page-7 of I� <br /> 7. UNDER-DISPENSER CONTAINMENT C TESTING <br /> Test Method Developed By: C UDC Manufacturer. Industry Standard ❑Professional Engineer <br /> ❑Other(Sped) <br /> Test Method Used: El Pressure ❑Vacuum >(Hydrostatic <br /> Q Other(Specify) <br /> !!�, <br /> Test Equipment Used:A 64"U t?" (itt _1 ' 5 Equipment Resolution: <br /> KIM <br /> UDC# ;5� 6 UDC# 6 CDC# 7- Y UDC# -7 <br /> - <br /> UDC Manufacturer , N V 1 RCA-1,l <br /> UDC Material: P t C t r r <br /> UDC Depth: 2 -11% .Z ,. Z 7 7 <br /> Height from UDC Bottom to Top <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: 6 9 <br /> Condition of UDC prior to <br /> testing: pq D <br /> Portion of UDC Tested V2 �'li 't1(;ys- ri ti E( l <br /> Does turbine shut down when ❑yes El No NA <br /> UDC sensor detects liquid(both ❑Yes C1 No 7NA ❑Yes ❑No '�NA ❑Yes []No fPA <br /> product and water)?' <br /> Turbine shutdown response time <br /> Is system programmed for fail- ❑Yes ❑No [VrNA D Yes ❑No YNA ❑Yes ❑No SNA ❑Yes ❑No '$NA <br /> safe shutdown?' <br /> Was fail-safe verified to be ❑Yes ❑No NA Q Yes ❑No )NA ❑Yes ❑No INA ❑Yes ❑No <br /> operational? <br /> Wait time between applying <br /> pressure/vacuum/water and rte! ' <br /> starting test <br /> Test Start Time: 3>7 / 17 / <br /> Initial Reading I : 12 4.3.55 Z� 6 35 11 1 —© d r <br /> Test End Time: 1 ; 1 -5 Z ! y 3 <br /> Final Reading(RF): 1 2-4 375" 12 63�r� 11 -13-53' . l S'z <br /> Test Duration: 15 n'1 ILJ _ i 1 r <br /> Change in Reading RI): 0 . COp pQ ©, 3 00006 <br /> PasslFail Threshold or Criteria: 0r0 {, 0 1 0,c <br /> Test Result: ;.JELPms 0 Fail It Pass ;b Fail <br /> - NLPass : C)Fail, Pass' .L1 Fail _ <br /> Was sensor removed for testing? 7Yes ❑No C]NA -�ZVes ❑No ❑NA �fes ❑No ❑NA [ Yes Q No [INA <br /> Was sensor property replaced and )!'Yes CJ No Q NA ❑No ❑NA Yes [I No ❑NA Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs madeprior to testin,a, and recommended follow-up for failed tests) <br /> Costco #658 <br /> 3250 Grantfine & Hwy 205 <br /> Tracy, CA 95377 <br /> 1 If the entire depth of the UDC is not tested,specify how much was tested. If the answer to gqy 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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