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COMPLIANCE INFO 1999-2005
Environmental Health - Public
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PR0231761
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COMPLIANCE INFO 1999-2005
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Last modified
7/6/2020 4:40:04 PM
Creation date
11/7/2018 9:21:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999-2005
RECORD_ID
PR0231761
PE
2361
FACILITY_ID
FA0002347
FACILITY_NAME
ERNIES GENERAL STORE
STREET_NUMBER
4407
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710059
CURRENT_STATUS
01
SITE_LOCATION
4407 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
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\MIGRATIONS\W\WATERLOO\4407\PR0231761\COMPLIANCE INFO 1999-2005.PDF
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EHD - Public
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0 m,,AAc 4 <br />SWRCB, January 2002 page�, of__T <br />7 UNDER -DISPENSER CONTAINMEKf'(UDC) TESTING <br />Tosi Method Developed By: 0 UDC Manufacturer Madustry Standard 0 Professional Engineer <br />11 Other (Specif <br />Test Method Used: 0 Pressure 0 Vacuum 011ydrostatic <br />F.1 Other (Sped!)_ <br />Test Equipment Used: G <br />Equipment Resolution: <br />MW 71,Mi <br />UDC#j <br /># <br />UDC Mantificturer: <br />dN <br />UDC Material: <br />S +-e e I <br />UDCDe �e <br />— <br />Height from UDC Bottom to Top <br />of Highest Pim g Penetration: <br />C <br />kM7\ <br />Height from UDC Bottom to <br />Lou est Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Portion of UDC I esm.l'Tip-,tjj�� <br />Z_7�_ <br />At, fl,�e :hip <br />Does turbine shut down when <br />UDC sensor detects fiquid (both <br />DYes ONo DNA <br />DYes 11 No DNA <br />DYC,S,,f,]No. [INA - <br />-trY&-'1.W6 _Dkk <br />producl and water)'' <br />Turbine shutdown response time <br />Is system progranuried for fail- <br />El Yes 0 No <br />Li ONo D NA <br />OYes ONo [INA <br />0 Yes 0 No 0 NA <br />safe shutdown?'4NA- <br />Was fail-safe � erified to be <br />D Yes 0 No 0 NA <br />D Yes ONo DNA <br />OYes ONo DNA <br />OYes ONo CNA <br />operational'?' <br />Wait tine between applying <br />pressure/vacuum/water and <br />starting test <br />Test Start Time: <br />k Is- c) <br />Initial Reading (Rn): <br />Test End Time: <br />Final Reading (RN): <br />0 <br />..n <br />C) <br />Test I <br />Lr" - <br />Change in Reading (FP -Rt): <br />Pass/Fail Threshold or Criteria: <br />Z <br />ao <br />Test Result: <br />Pam <br />0 Pass VFaj( <br />0 Pass Fa <br />6r �V �( <br />Pas <br />Was sensor removed for testing? <br />Oyes fIN <br />OYes GNo XN <br />DYes ONo <br />OYes ONo 144,A-' <br />Was sensor properly replaced and <br />DYes 11No 116 <br />0 Yes n No /NA <br />0 Yes 0 No <br />verified functional after WWI? <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 vkritb an <br />asterisk ()is "N(Yor"NA", the entire UDC must be tested. (See S"CB LG -160) <br />
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