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COMPLIANCE INFO_2008 - 2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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YOSEMITE
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1711
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2300 - Underground Storage Tank Program
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PR0231455
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COMPLIANCE INFO_2008 - 2009
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Last modified
5/5/2020 4:03:53 PM
Creation date
5/4/2020 9:32:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008 - 2009
RECORD_ID
PR0231455
PE
2361
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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Ji11`Iv r�; <br /> 7.UNDER-DISPENSER CONTENT��) professional Engineer ❑ j <br /> ®— <br /> ----d— UDC Manufacturer 11Industry Standard <br /> Test Method Developed By: Other(Specify) Hydrostatic <br /> Pressure 11Vacuum 11Test Method Used: ether(Specify) <br /> Equipment Resolution: .00007 <br /> Test Equipment Used: Wayne Perry Inc.See Attached Testing Results <br /> pill 10111Under-Dispenser Containment Number Below <br /> E0110111 11 G 5 .. � 7•.� 7 <br /> UDC Manufacturer: i - <br /> UDC Material: „ / / <br /> UDC Depth: f <br /> Height from UDC Bottom to Top <br /> „ a5 , <br /> " <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to _ <br /> Lowest Electrical Penetration: - <br /> Condition of UDC prior to <br /> testin : 2"Above Highest 2"Above Highest 2'AboveHighest2" Penetration <br /> Penetration Penetration <br /> Portion of UDC Tested' yes 0 No NAN <br /> No NAN ❑y�❑ NO N`�'® ❑Yes❑ No NAN ❑ <br /> Does turbine shut down when E]yes E] r— — y es❑ No NA® <br /> UDC sensor detects liquid. yes p No NAN Cl yes❑ No NA® ❑ <br /> ------ <br /> []yes❑ No NA® ❑ y�❑ No NAN <br /> Turbine shutdown response time ❑ Yes❑ No NA® ❑yes❑ No NAN ❑ <br /> Is system programmed for fail- ❑yes❑ No NA® ❑ <br /> safe shutdown?" Yes❑ No NAN El Yes <br /> No NA® <br /> ❑ <br /> ❑yes❑ No NAN ❑yes❑ No NAN <br /> Was fail safe verified to be � i <br /> o erational? 15 Minutes <br /> Wait time between applying 15 Minutes 15 Minutes <br /> pressure/vacuum/water and <br /> 15 Minutes <br /> i <br /> starting test <br /> Test Start Time: 1 <br /> Initial Reading(RO' <br /> Test End Time: 15 Min 15 Min <br /> Inal Reading(RF)' 15 Min 15 Min 15 Min _ 15 Min 15 Min i5 Min <br /> Test Duration: -0.0020 0.0020 <br /> Change in Reading(Rj!-R>): 0 0020 0 0020 0 0020 -0 0020 <br /> 0 0020 -0 0020 K <br /> Pass/Fail Threshold or Criteria: 1 � ,+ 1 <br /> FORM <br /> 12 <br /> c ti f Ai <br /> '' r 5tll nifi,elKil ' es❑ . o NAEr ❑ <br /> ❑Yes❑ <br /> Was sensor removed for testing? ❑ ❑ NO yes 0 No NAC'- ❑yes❑ No NA�� <br /> properly re laced and ❑Yes❑ No NAC ❑yes❑ No NAf7� ❑ <br /> Was sensor prop Y P <br /> verified functional after testin ? or ailed tests <br /> c,�z. UTAL <br /> Comments- (include information on repairs?;�Jade r to stin , and reco� �d ollow-upf f • <br />
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