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COMPLIANCE INFO_2003-2008
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_2003-2008
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Last modified
12/4/2023 2:32:22 PM
Creation date
6/3/2020 9:46:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2008
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_2003-2008.tif
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EHD - Public
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SWRCB, MAY 2002 Page of !� <br /> 7. UNDER-DISPENSER CO Q TESTING <br /> Test Method Developed by: UDC Manufacturer Industry Standard Vrofessional Engineer <br /> Other(Specify) <br /> Test Method Developed by: ❑ Pressure Vacuum MOFHydrostatic <br /> (� Other(Specify) <br /> Test Equipment Used: VMI Equipment Resolution: .05 gph <br /> UDC# 1-2 UDC# J UDC# -s-_- t° UDC <br /> UDC Manufacturer: „c <br /> UDC Materials: 901% <br /> UDC Depth: 3 ;, <br /> Height from UDC Bottom to Top <br /> of Highest Piping Penetration: �, „a <br /> Height from UDC Bottom to <br /> Lowest Electrical-Penetration: ®,' <br /> Condition of UDC prior to testing: p per! 4 kp <br /> Portion of UDC Tested: ALL ALL ALL ALL <br /> Does turbine shut down when UDC <br /> sensor detects either product or water? <br /> Turbine shutdown response time: — <br /> Is system programmed for <br /> fail-safe shutdown? ' <br /> Was fail-safe verified to be <br /> operational? <br /> Wait time between applying pressure/ <br /> vacuum/water&starting test: /f S <br /> Test Start Time: <br /> Initial Reading(Re) g®per �j ® DO�►r <br /> Test End Time: lag <br /> O z„r p <br /> Final Reading(RF): ® sSsJ <br /> Test Duration: <br /> Change in Reading(RF-R,): fj,�,,/ <br /> Pass/Fail Threshold or Criteria: o®,; ,� b$ ,'O' iOS <br /> TEST RESULT: MYPASS [] FAIL O`PASS C] FAIL MrPASS FAIL [I PASS r-1 FAIL <br /> Was sensor removed for testing? Yes(]No[3 NA 0 Yes[]No[]NA Yes C3 No C3 NA C]Yes C]No[I NA <br /> Was sensor properly replaced& <br /> verified functional after testing? MrYes[3 No 0 NA Co Yes()No C]NA fTYes C]No f3 NA [I Yes[I No❑NA <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />
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