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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 Page of <br /> 6. UNDER-DISPENSER C®NTA UDC TESTING <br /> Test Method Developed By: ❑UDC Manufacturer 12011ndustry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum ydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> DC IDC# ULC# <br /> UDC Manufacturer: <br /> UDC Material: <br /> UDC Depth: <br /> Height from UDC Bottom to Top <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to <br /> testing: <br /> Portion of UDC Tested <br /> Does turbine shut down;when <br /> UDC sensor detects liquid(both G Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA L Yes ❑No U NA <br /> product and water? <br /> Turbine shutdown response time <br /> Is system programmed for fait- <br /> safe shutdown? ❑Yes ❑No ❑NA ❑Yes ❑No ❑iNA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was fail-safe verified to be <br /> ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes 0 No r NA ❑Yes ❑No ❑NA <br /> operational?* <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test <br /> Test Start Time: <br /> Initial Reading ,): <br /> Test End Time: <br /> Final Reading F): <br /> Test Duration: <br /> Change in Reading(RF-Rz): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: I] Pass ': 0 Fail El.Pass`::❑.Fail d .Pass D Fail ❑ Pass 0 Fail <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes 0 No ❑NA <br /> Was serscr properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA G Yes ❑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 /> r <br /> `-- <br /> ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to a"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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