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COMPLIANCE INFO 2014 - 2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0505687
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COMPLIANCE INFO 2014 - 2015
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Last modified
1/26/2022 1:43:39 PM
Creation date
11/5/2018 4:43:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014 - 2015
RECORD_ID
PR0505687
PE
2361
FACILITY_ID
FA0006943
FACILITY_NAME
LATHROP GAS & FOOD INC
STREET_NUMBER
140
Direction
E
STREET_NAME
LATHROP
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19611007
CURRENT_STATUS
01
SITE_LOCATION
140 E LATHROP RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LATHROP\140\PR0505687\COMPLIANCE INFO 2014 - 2015.PDF
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EHD - Public
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L.J <br />0 <br />Page of <br />8. UNDER -DISPENSER CONTAINMENT (IJDQ TFgTTNV- <br />Test Method Developed By: ❑ UDC Manufacturer Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑Pressure ❑Vacuum ®Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Incon Sump Tester Equipment Resolution: .002" <br />UDC # UDC # UDC # UDC # <br />UDC Manufacturer: <br />UDC Material: <br />UDC Depth: <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />Height from UDC Bottom to <br />- <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testi ng: <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />❑Yes❑ No ❑ NA <br />❑Yes❑ No ❑ NA <br />❑Yes❑ No ❑ NA ❑Yes❑ No ❑ NA <br />product and water)?` <br />Turbine shutdoti <br />wn response me <br />❑Yes❑ No El NA <br />❑Yes❑ No ❑NA <br />❑Yes No ❑ NA ❑Yes❑ No El NA <br />Is system programmed for fail- <br />safe shutdown?` <br />yes No NA <br />❑ ❑ <br />❑Yes❑ No [] NA <br />❑Yes❑ No ❑ NA ❑Yes No NA <br />❑ ❑ <br />Was fail-safe verified to be <br />o erational?` <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />Test Start Time: <br />Initial Reading (RT): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />❑ Pass ❑ —Fail <br />❑ Pass ❑ Fail <br />El Pass ❑ Fail ❑Pass ❑Fail <br />Was sensor removed for testing? <br />❑Yes❑ No ❑ NA <br />❑Yes❑ No ❑ NA <br />❑Yes❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑Yes❑ No ElNA <br />❑Yes❑ No ElNA <br />❑Yes❑ No ElNA ❑Yes❑ No ElNA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. <br />
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