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COMPLIANCE INFO 1995 - 2002
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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PR0231706
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COMPLIANCE INFO 1995 - 2002
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Last modified
6/11/2019 11:14:19 AM
Creation date
4/10/2019 2:22:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995 - 2002
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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SWRCB, MAY 2002 Page_,�- of <br /> 7. UNDER-DISPENSER CONTAINMENT (UDC} TESTING <br /> Test Method Developed by: Q <br /> UDC Manufacturer Industry Standard ❑ Professional Engineer <br /> Q Other(Specify) <br /> j/ ❑ <br /> F!-.-3sure ❑ Vacuum ❑ Hydrostatic <br /> Test Method <br /> v Q Otho t(Specify) <br /> -� Equipment Resolution: .OS gph <br /> Test Equipment Used: VMI <br /> UDC# /—Z UDC# 3— UDC# UDC# ZzXf <br /> e—t. <br /> UDC Manufacturer: l(/ e = tue s 7,c r' <br /> UDC Materials: 12 o <br /> UDC Depth: _ 3 <br /> Height from UDC Bottom to Top <br /> of Highest Piping Penetration: y` <br /> Height from UDC Bottom to <br /> Lowest Electrical-Penetration: <br /> Condition of UDC prior to testing: <br /> Portion of UDC Tested: ALL ALL ALL ALL <br /> Does turbine shut down when UDC <br /> sensor detects either product or water? Pxz <br /> 'ILrbine shutdown response time: <br /> Is system programmed for <br /> fail-safe shutdown? <br /> Was fail-safe verified to be <br /> operational? <br /> Wait time between applying pressure/ — <br /> vacuum/water&starting test 7 /5�•• f 7�5�+ s <br /> Test Start Time: ARoo <br /> Initial Reading(Ri) 42 p ys D.rs/ fOo�! <br /> Test End Time: A00 .r /�Od <br /> Final Reading(Rt): <br /> Test Duration: Oz.s <br /> Change in Reading(RF-Rx): ,u1/ G•b <br /> Pass/Fail Threshold or Criteria: 03 f'/f'f 'aS 1i�y .OS d <br /> �,T ❑ PASS FAIL ,PASS [3 FAIL PASS ❑ FAIL Q PASS FAIL <br /> TEST RESWas sensor removed for testing? yes Q No[I NA [,�Yes Q No Q NA Yes Q No[3 NA Yes❑No❑NA <br /> Was sensor properly replaced& <br /> verified functional after testing? Yes(3 No❑NA Yes Q No Q NA Yes❑No[a NA Yes C3 No NA <br /> Comments—(include information on repairs made Prior to testing,and recommended follow-up for failed tests) <br /> 2 ,ct k rz i C- 5�.�5 s"ti - <br />
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