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COMPLIANCE INFO 2012 - 2018
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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PR0231211
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COMPLIANCE INFO 2012 - 2018
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Last modified
5/15/2019 5:10:41 PM
Creation date
5/15/2019 2:24:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2018
RECORD_ID
PR0231211
PE
2371
FACILITY_ID
FA0002409
FACILITY_NAME
SAFEWAY FUEL CENTER #2707
STREET_NUMBER
6425
Direction
N
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
6425 N PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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JAN 11 201, <br />IINDER-DISPENSER CONTAINMENT fUDC) TESTING..... .a c ra ar'asra s <br />Test Method Developed By: ❑ UDC Manufacturer ® Industry Standard ❑ P w;t=a;T <br />❑ Other /Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Incon Sump Tester Equipment Resolution: +/_ 0.002" <br />UDC #1/2 <br />UDC #3/4 <br />UDC 45/6 <br />UDC # 7/8 <br />UDC Manufacturer: <br />Western Fiberglass <br />Western Fiberglass <br />Western Fiberglass <br />Western Fiberglass <br />UDC Material: <br />Fiberglass <br />Fiber lass <br />Fiberglass <br />Fiberglass <br />UDC Depth: <br />31" <br />31" <br />31" <br />31" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />6" <br />6' <br />7" <br />6" <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />' <br />Condition of UDC prior to <br />testing: <br />Good <br />Good <br />Good <br />Good <br />Portion of UDC Tested <br />2" above i in <br />2" above piping <br />2" above piping <br />2" above piping <br />Does turbine shut down when <br />UDC sensor detectsprodliquid (both <br />DC se and water)' <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No O NA <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 ® NA <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No N NA <br />Was fail-safe verified to be <br />operation 1?' <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No ®NA <br />❑ Yes ❑ No ® NA <br />Wait time between applying <br />pressure/vacuum/water and <br />startin" test <br />30 minutes <br />30 minutes <br />30 minutes <br />30 minutes <br />Test Start Time: <br />2:28 pm <br />2:28 pm <br />2:28 pm <br />1:32 prn <br />Initial Reading (111): <br />5.1833 <br />2.5594 <br />0.9957 <br />4.9041 <br />Test End Time: <br />2:43 pin <br />2:43 pm <br />2:43 pun <br />1:47 pun <br />Final Reading (RF): <br />5.1836 <br />2.5590 <br />0.9954 <br />4.9043 <br />Test Duration: <br />15 min. <br />15 min. <br />15 min. <br />15 min. <br />Chane in Reading (RF-Ri): <br />0.0003 <br />0.0004 <br />0.0003 <br />0.0002 <br />Pass/Fail Threshold or Criteria: <br />+/- 0.002" <br />+/-0.002" <br />+/- 0.002" <br />+/- 0.002" <br />Test Result: <br />O Pass ❑ Fail <br />El Pass ❑ Fall <br />O Pass ❑ Fail <br />17 Pass D Fail <br />Was sensor removed for testin? <br />®Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />ID Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />® Yes ❑ No ❑ NA <br />® Yes ❑ No Cl NA <br />® Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />"Sensor functionality was not confirmed. This procedure is not part of the Secondary Containment testing scope of work". <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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