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COMPLIANCE INFO_2010-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2010-2015
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Last modified
12/28/2023 11:35:02 AM
Creation date
6/3/2020 9:51:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2010-2015.tif
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EHD - Public
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RECEIVED <br />SWRCB, January 2002 P <br />6. PIPING SUMP TESTING 114 ROAD In I <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard X ProfessPART T <br />❑ Other (Spec) glaw <br />Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: Caldwell Level Change Indicator <br />Sump #1-87 Sump#2-91 <br />Equipment Resolution: .002 <br />Sump#3-Diesel Sump# <br />Sump Diameter: 42" <br />42" <br />42" <br />Sump Depth: 50" <br />50" <br />50" <br />Sump Material: Fiberglass <br />Fiberglass <br />Fiberglass <br />Height from Tank Top to Top of 2299 <br />Highest Piping Penetration: <br />25" <br />12" <br />Height from Tank Top to Lowest 18" <br />Electrical Penetration: <br />20" <br />20" <br />Condition of sump prior to testing: Dry <br />Dry <br />Dry <br />Portion of Sump Tested' Water Level 24" <br />Water Level 27" <br />Water Level 22" <br />Does turbine shut down when <br />sump sensor detects liquid (both X Yes ❑ No ❑ NA <br />product and water)?' <br />X Yes ❑ No ❑ NA <br />X Yes ❑ No ❑ NA <br />Turbine shutdown response time Not Alarmed <br />Not Alarmed <br />Not Alarmed <br />Is system programmed for fail-safe X Yes ❑ No ❑ NA <br />shutdown?` <br />X Yes ❑ No ❑ NA <br />X Yes ❑ No ❑ NA <br />Was fail-safe verified to be Yes X No ❑ NA <br />operational?* <br />Yes X No ❑ NA <br />Yes X No ❑ NA <br />Wait time between applying water 5 Minutes <br />and starting test: <br />5 Minutes <br />5 Minutes <br />Test Start Time: 10:55 <br />10:05 <br />10:50 <br />Initial Reading (Rj): .001 <br />.001 <br />.001 <br />Test End Time. 11:25 <br />10:35 <br />11:20 <br />Final Reading (RF): .001 <br />.001 <br />.001 <br />Test Duration: 30 Minutes <br />30 Minutes <br />30 Minutes <br />Change in Reading (RF -RI): 0 <br />0 <br />0 <br />Pass/Fail Threshold or Criteria: .005/30 Minutes <br />.005/30 Minutes <br />.005/30 Minutes <br />Test Result: X Pass 0 Fail <br />X Pass0 Fail <br />X Pass 0 Fail <br />0 Pass; 0 Fail <br />Was sensor removed for testing? X Yes ❑ No ❑ NA <br />X Yes ❑ No ❑ NA <br />X Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and X Yes ❑ No ❑ NA <br />verified functional after testing? <br />X Yes ❑ No =NAX <br />❑ No ❑ NA <br />❑ Yes []No ❑ NA <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 any of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />
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