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COMPLIANCE INFO 1994 - 2010
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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PR0231841
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COMPLIANCE INFO 1994 - 2010
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Last modified
7/12/2019 5:29:19 PM
Creation date
7/12/2019 2:17:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1994 - 2010
RECORD_ID
PR0231841
PE
2361
FACILITY_ID
FA0000556
FACILITY_NAME
CHEROKEE LANE SERVICE STATION*
STREET_NUMBER
900
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742007
CURRENT_STATUS
01
SITE_LOCATION
900 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SWRCB, January 2002 Page L of <br />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />I est Memoa Deveiopea t3y: ❑ UDC Manufacturer ❑ Industry Standard`Professional Engineer <br />❑ Other (Sped) f <br />Test Method Used: ❑ Pressure ❑ VacuumHydrostatic <br />❑ Other (Spec) / ` <br />Test Equipment Used: C,:7,1,4Wejj use, <br />t Resolution: ; o 0 25 <br />lO UDC#RS <br />DC# <br />UDC# <br />UDC Manufacturer: <br />t rcr.� <br />_ No <br />UDC Material: <br />4 -ea S4.e& <br />CaS-I- - <br />UDC De th: <br />I <br />Height from UDC Bottom to Top <br />r" <br />of Highest Piping Penetration: <br />a et (OW Wtk 1 <br />5 46?_ C ,4A UA&t <br />Height from UDC Bottom to <br />Lowest Electrical Penetration:, <br />, <br />CMt � <br />Condition of UDC prior to <br />testing: <br />D ✓' <br />p r <br />Portion of UDC Tested <br />W atfe,i (,ems < < <br />W44 -p r(,e vLL , <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />❑ Yes No ❑ NA <br />❑ Yes )i(�o ❑ NA <br />❑ Yes ❑ o ❑ NA <br />❑ Yes o ❑ NA <br />roduct and water)?* <br />Turbine shutdown response time <br />tJ <br />Is system programmed for fail- <br />❑ Yes ❑ No�'NA <br />safe shutdown?` <br />.. \\ <br />❑ Yes ❑ No KN1A <br />❑ Yes No ❑ NA <br />❑ Yes No ❑ NA <br />Was fail-safe verified to be <br />❑ Yes ❑ No ;!Y -NA <br />operational?` <br />❑ Yes No A <br />❑ Yes No ❑ NA <br />0 e ❑ o ❑ NA <br />Wait time betwee ing <br />pressure/vacuu wat d <br />� <br />/_ \ <br />starting test <br />rye ;,X -A 1-e <br />y {3 r-*► WAJ.�.. C, <br />Test Start Time: <br />$ ," 15 <br />; L v <br />Initial Reading Rl): <br />Test End Time: <br />$ ; 56 <br />Final Reading (RF): <br />Test Duration: <br />30 /`1 •. , <br />a r n r H u r <br />Change in Reading RF -RI : <br />/\IU <br />/Ij U <br />Pass/Fail Threshold or Criteria: <br />, v o S 13 0 <br />o 0 5 3& <br />Test Result: <br />Pass 11 Fail <br />Pass ❑ Fail <br />❑ Pass ❑ tail <br />d Pass ❑ Fall <br />Was sensor removed for testing? <br />es ❑ No ❑ NA <br />Vies 0 No ❑ NA <br />❑ es ❑ No A <br />❑ <br />es ❑ No ❑ <br />L <br />-I <br />• <br />Was sensor properly replaced andXes <br />El No ❑ NA <br />❑ No ❑ NA <br />Yes ❑ No ❑ <br />/Yes <br />verified functional after testing? <br />❑ No ❑ N <br />Comments — (include information on repairs made prior to testing, and recommended follow -un for failed tests) <br />t-1 11 p P-v-.-Fv a -V .tAn S c� A+ --e f A -"o, bb 44-0 1.".()_V"\� y d.v v 5w e a-e� Lk\ C' `z <br />1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to M 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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