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COMPLIANCE INFO 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PATTERSON PASS
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2300 - Underground Storage Tank Program
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PR0231708
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COMPLIANCE INFO 2018
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Last modified
5/14/2019 2:26:33 PM
Creation date
2/26/2019 12:19:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231708
PE
2361
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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SWRCB, January 2002 <br />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />Page of <br />Test Method Developed By: ❑ UDC Manufacturer 0 Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum O Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: TS -STS Equipment Resolution: 0.00" <br />UDC # 1-2 <br />UDC # 3-4 <br />UDC # 5-6 <br />UDC # 7-8 <br />UDC Manufacturer: <br />Unknown <br />Unknown <br />Unknown <br />Unknown <br />UDC Material: <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />UDC Depth: <br />40.00" <br />40.00" <br />40.00" <br />40.00" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />18.00" <br />18.00" <br />18.00" <br />18.00" <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />24.00" <br />24.00" <br />24.00" <br />24.00" <br />Condition of UDC prior to <br />testing: <br />Clean dry <br />Clean dry <br />Clean dry <br />Clean dry <br />Portion of UDC Tested' <br />Highest penetration <br />Highest penetration <br />Highest penetration <br />Highest penetration <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />[]Yes ❑No ONA <br />❑Yes []No ONA <br />[]Yes ❑No ONA <br />[]Yes ❑No ONA <br />Turbine shutdown response time <br />N/A <br />N/A <br />N/A <br />N/A <br />Is system programmed for fail- <br />safe shutdown?` <br />[]Yes ❑No ONA <br />❑Yes []No ONA <br />❑Yes []No ONA <br />❑Yes ❑No ONA <br />Was fail-safe verified to be <br />o erational?` <br />❑Yes ❑No []NA <br />❑Yes ❑No []NA <br />❑Yes ❑No NA <br />[] <br />❑Yes ❑No ONA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />5min <br />5min <br />5min <br />5min <br />Test Start Time: <br />Initial Reading (RI): <br />SEE INCON RESULTS <br />SEE INCON RESULTS <br />SEE INCON RESULTS <br />SEE INCON RESULTS <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />15min <br />15min <br />15min <br />15min <br />Change in Reading RF-Rl : <br />Pass/Fail Threshold or Criteria: <br />0.002" <br />0.002" <br />0.002" <br />0.002" <br />Test Result: <br />[] Pass ❑ Fail <br />[] Pass ❑ Fail <br />[] Pass ❑ Fail <br />[] Pass ❑ Fail <br />Was sensor removed for testing? <br />[] Yes ❑No [INA <br />[] Yes []No []NA <br />OYes ❑No []NA <br />OYes []No [INA <br />Was sensor properly replaced and <br />verified functional after testing? <br />[] yes ❑No [INA <br />[]Yes []No [INA <br />[]Yes []No [INA <br />I OYes ❑No [INA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />1 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. (See SWRCB LG -160) <br />
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