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COMPLIANCE INFO_1986-2002
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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PR0231216
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COMPLIANCE INFO_1986-2002
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Last modified
12/27/2023 4:06:39 PM
Creation date
6/3/2020 9:46:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2002
RECORD_ID
PR0231216
PE
2361
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231216_4511 PACIFIC_1986-2002.tif
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EHD - Public
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SWRCB,January 2002 <br /> Page of <br /> S. PIPING SU MEP TES 4NG <br /> Test Method Developed By: 0 Sump Manufacturer dustry Standard _7—Professional Engineer <br /> 11 Other(Specify) <br /> Test Method Used: 0 Pressure 0 Vacuum ydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Surnp# Sump# Sump# .3 Sump# <br /> Sump Diameter: 10K zdov <br /> Sump Depth: <br /> Sump Materia-1: <br /> /,.4y-57 /c, <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to testing._ <br /> Portion of Sump Tested' A/ <br /> Does turbine shut down when <br /> sump sensor detects liquid(both 11 Yes 0 No V<A 0 Yes 0 No MA 0 Yes 0 No V�A 0 Yes 0 No "/A <br /> product and water?* <br /> Turbine shutdown response time <br /> Is system programmed for fail-safe 11 Yes El No R`NA El Yes 0 No A 0 Yes 0 No ff ONA 11 Yes [I No <A <br /> shutdown?* <br /> Was fail-safe verified to be "� <br /> ope onal?* 0 Yes 0 No --XA 0 Yes 0 No R<A El Yes 0 No XA 11 Yes 0 N A <br /> Wait time between applying <br /> pressure/vacuum/water and starting <br /> test: . /r11 i Ar AfS gam. <br /> Test Start Time: <br /> Reading(RI).- <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration; <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: N <br /> 01 <br /> Test Result: 0 PASS 91Fail 0 Pass ail rfass ,O Fail Gr.Pass 0 Fail <br /> Was sensor removed for testing? 91/Y'es 0 No 0 NA 1�4es El No 0 NA es D No 0 NA @4�s El No 0 N <br /> Was sensor properly replaced and 1-1'e's 0 No El NA UWes 0 No 0 NA " El No 0 NA es' 0 N DNA <br /> verified functional after testim? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> If the entire depth of the sump is not tested, specify how much was tested. If the answer to anv of the questions indicated with an <br /> ,jug- iSk(') ;sANO"or"NIA",the entire sump must be tested. (See SVfRCB LG-160) <br />
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