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COMPLIANCE INFO_2011-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231021
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COMPLIANCE INFO_2011-2015
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Last modified
9/22/2022 2:32:40 PM
Creation date
6/3/2020 9:44:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2015
RECORD_ID
PR0231021
PE
2361
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
01
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231021_2908 W BENJAMIN HOLT_2011-2015.tif
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EHD - Public
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SWRCB, January 2002 0 <br />Page _5_ of _8_ <br />Test Method Developed By: ❑ UDC Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: INCON SUMP <br />TESTER <br />Equipment Resolution: + / - 0.002" <br />UDC #1-2 <br />UDC #3-4 <br />UDC #5-6 <br />UDC #7-8 <br />BRAVO PAN <br />BRAVO PAN <br />BRAVO PAN <br />BRAVO PAN <br />UDC Manufacturer: <br />UDC Material: <br />FIBERGLASS <br />FIBERGLASS <br />FIBERGLASS <br />FIBERGLASS <br />UDC Depth: <br />1'2" <br />12" <br />12" <br />12" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />3.50" <br />3.50" <br />3.50" <br />3.50" <br />Height from UDC Bottom to <br />N/A <br />N/A <br />N/A <br />N/A <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />DRY <br />DRY <br />DRY <br />DRY <br />testing: <br />Portion of UDC Tested <br />ABOVE <br />ABOVE <br />ABOVE <br />ABOVE <br />PENETRATION <br />PENETRATION <br />PENETRATION <br />PENETRATION <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />® Yes ❑ No ❑ NA <br />®Yes [:]No ❑ NA <br />®Yes ❑ No [:INA <br />®Yes ❑ No [_-]NA <br />product and water)9* <br />Turbine shutdown response time <br />3 SEC <br />3 SEC <br />3 SEC <br />3 SEC <br />Is system programmed for fail- <br />®Yes [:]No ❑NA <br />® Yes ❑ No ❑ NA <br />®Yes ❑ No ❑ NA <br />®Yes []No ❑ NA <br />safe shutdown?` <br />Was fail-safe verified to be <br />®Yes ❑ No ❑ NA <br />® Yes [--]No ❑ NA <br />®Yes [:]No ❑ NA <br />®Yes ❑ No ❑ NA <br />operational?* <br />Wait time between applying <br />pressure/vacuum/water and <br />10 MIN <br />10 MIN <br />10 MIN <br />10 MIN <br />starting test <br />Test Start Time: <br />8:53 AM <br />8:53 AM <br />8:53 AM <br />8:53 AM <br />Initial Reading (Rj): <br />2.3076" <br />0.6896" <br />3.8543" <br />3.4716" <br />Test End Time: <br />9:08 AM <br />9:08 AM <br />9:08 AM <br />9:08 AM <br />Final Reading (RF): <br />2.3075" <br />0.6895" <br />3.8540" <br />3.4709" <br />Test Duration: <br />15 MIN <br />15 MIN <br />15 MIN <br />15 MIN <br />Change in Reading (RF-Rj): <br />-0.00011, <br />-0.00011, <br />-0.0003" <br />-0.0007" <br />Pass/Fail Threshold or Criteria: <br />+!- 0.002" <br />+/- 0.002" <br />+/-0.002" <br />+/-0.002" <br />❑ Fail:: <br />�Yass <br />❑:Fail <br />,. . ..:Pass <br />Was sensor removed for testing? <br />® Yes []No ❑ NA <br />..❑,Fal.Fass <br />® Yes ❑ No ❑ NA <br />®Yes ❑ No ❑ NA <br />®Yes [:]No ❑ NA <br />Was sensor properly replaced and <br />®Yes ❑ No ❑ NA <br />®Yes ❑ No ❑ NA <br />®Yes El No El NA <br />®Yes El No ❑ NA <br />verified functional after testing? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />ABOVE IS THE LAST OF TWO BACK TO BACK 15 MINUTE 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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