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COMPLIANCE INFO_2008 RETROFIT
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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PR0516526
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COMPLIANCE INFO_2008 RETROFIT
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Last modified
11/21/2022 11:26:32 AM
Creation date
12/13/2018 1:04:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008 RETROFIT
RECORD_ID
PR0516526
PE
2361
FACILITY_ID
FA0012659
FACILITY_NAME
LOVE'S COUNTRY STORES OF CALIF #223
STREET_NUMBER
1553
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534024
CURRENT_STATUS
01
SITE_LOCATION
1553 COLONY RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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N <br /> SWRCB,January 2002 `�j <br /> Page, of <br /> 7• UNDER-DISPENSER CONTAINMENT(UDC)TESTING <br /> Test Method Developed By: 0 UDC Manufacturer <br /> ❑Industry Standard ofessional Engineer <br /> - ❑Other(Sped) �,_, <br /> Test Method Used: ❑Pressure <br /> 0 Vacuum )?Vydrostatic <br /> ❑Other(Spec) <br /> TestEquipment Used , ` � C h a <br /> Equipment Resolution. <br /> UDC# <br /> UDC Manufacturer: UDC# 5t UDC# <br /> rt v'G✓v�7vt�✓i v► v i v h �n✓f v u n <br /> UDC Material: <br /> UDC Depth: <br /> Height fromUDC Bottom to Top ' <br /> of Hi hest Pi in gi,Penetration: <br /> Height from UDC Bottom to <br /> Iv" <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to g�� <br /> testing: <br /> Portion of UDC Tested t vet? i t l I <br /> Does turbine shut down when ' hhC, N' er <br /> UDC sensor detects liquid(both es 0 No 0 NA ,�I'es ❑No ❑NA <br /> product and water)? v \ � ❑No ❑NA )<Yes 0 No DNA <br /> Turbine shutdown response time ev04- <br /> Is system programmed for fail- ` Lcq-L- Fj&&- � <br /> safe shutdown?` es ❑No ❑NA Xes []No O NA (es ❑No ❑NA <br /> Yes ❑No ❑NA <br /> Was fail-safe verified to be <br /> operational?* ❑Yes 2 Mo ❑NA ❑Yes 10 ❑NA ❑Yes 1 To ❑NA 0 Yes Io [INA <br /> Wait time between lying <br /> pressure/vacuum/ ate and <br /> starting test <br /> tarn--�5 f0►Yti�.u � �►S l. r�`r.�tt <br /> Test Start Time: SS' U;�� a,•�D <br /> Initial Rea ling G <br /> r�5 ude 21, 00 <br /> j-fv ly�f� �ri� <br /> Test End Time: z 2 <br /> Final ReadinCSG.. <br /> / <br /> (RF): <br /> Test Duration: 3 O r�► e 5 �v C9 fu G <br /> Change in Reading(RF-R,): IJ D G nwc� <br /> Pass/Fail Threshold or Criteria: o - Ave,e,_4 <br /> C�rGle i`!t 3 0 rwiv., r�le i r� . Ow4�h <br /> Test Result: z 1 h b <br /> Pass ❑Fail Pass 0 Fail Pass 0 Fail Pass 0 Fail <br /> Was sensor removed for testing? Yes 0 No ❑NA ❑No DNA es ❑No ❑NA es ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testing? - ❑No DNA ❑No 0 NA es ❑No ❑NA /1'5Y- es 0 No 0 NA <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 My 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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