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COMPLIANCE INFO 2002 - 2006
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MANTHEY
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3408
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2300 - Underground Storage Tank Program
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PR0517521
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COMPLIANCE INFO 2002 - 2006
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Last modified
5/14/2019 3:00:07 PM
Creation date
5/8/2019 1:59:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2006
RECORD_ID
PR0517521
PE
2361
FACILITY_ID
FA0013484
FACILITY_NAME
FOOD 4 LESS FUEL CENTER*
STREET_NUMBER
3408
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
16422011
CURRENT_STATUS
01
SITE_LOCATION
3408 MANTHEY RD
P_LOCATION
01
QC Status
Approved
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KBlackwell
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EHD - Public
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JAN -21 -2003 -TUE 01:20 PM <br />Dec 31 02 11:03a rranzen Hill 55b_d81467 <br />SWRCB, January 2002 <br />7_ 7T1�T1FR_T1TCP141V'Cx't7!'r1hTTArNML`ATT/rTT►r+\'r'�e-rYtvrr <br />p.10 <br />Page f of _;� <br />Test Method Developed By: <br />❑ UDC Manufacturer <br />0 Other (Spee) <br />Industry Standard 0 Professional Engineer <br />Test Method Used: <br />0 Pressure <br />D Otter (Specify) <br />❑ Vacuum <br />Hydrostatic <br />Test Equipment Used: 6 <br />110- UDC <br />UDC Manufacturer: TOi`4 1 <br />UDC# 3 -Lt <br />C", <br />Equipment Resolution: <br />ON <br />UDC# S- <br />c. C, -,f <br />EM <br />UDC 7 - <br />Gfci! c.vi'� <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 />Lowest Electrical Penetration: <br />/t <br />L44 <br />Condition of UDC prior to <br />testin : <br />G I eo,, n <br />C 1 <br />�1 <br />Cine ei tq <br />Portion of UDC Tested <br />t l <br />y I <br />Fw 11 <br />j <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?' <br />tfYes ❑ No CNA <br />KYes ONo ❑ NA <br />Yes ❑ No D NA <br />tifi Yes C No DNA <br />i' Turbine shutdown response time <br />j o <br />10 5-e6 <br />Set <br />lU St <br />Is system programmed for fail- <br />safe shutdown?' <br />Yes C No ❑ NA <br />PYes ❑ No ❑ NA <br />Yes 4 No 11NA9 <br />Yes Q No CJ NA <br />Was fail-safe verified to be <br />o erationa]?• <br />� Yes ONo DNA <br />Yes ONo NA <br />O <br />Yes ONo CNA <br />lF Yes ❑No DNA <br />Wait time between applying <br />pressure/vacuum/water and <br />startin test <br />1(J TM, h <br />Test Start Time: <br />; Gl(� <br />:CiU <br />Z: 0411 <br />Z.'Gd <br />Initial Reading (R,): <br />, Uu I <br />. (JG <br />'00 ( <br />r/G <br />Test End Time: <br />3; "3U <br />s:.3 <br />2'3' <br />�;3U <br />Final Readin RF : <br />, pfi 1 <br />, UV <br />pu j <br />•!�G 1 <br />Test Duration: <br />3CJ r,,'„ <br />U r., n <br />3 (J <br />Chane in Reading (.RF -R,): <br />lsi. <br />1iZ <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />pass D Fait <br />Pass 0 Fall <br />Pass <br />tj Pass D Fail <br />Was sensor removed for testing? <br />I X Yes D No DNA <br />VYes ❑ No n NA <br />t4Yes ONO [INA <br />'lei es []No O NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />' <br />Z Yes 0 No C NA <br />kXYes El No D NA <br />4Yes C No C NA <br />'Yes ❑No O NA <br />COmmerttS — (include information p)7repairs made prior to testing, and recommendedfollow-upfor 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. (See SWRCB LG -160) <br />
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