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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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0 * RE <br />SWRCB, January 2002 age IVgD <br />7. UNDER -DISPENSER CONTAINMENT UDC TESTING JAN 0 6 2014 <br />Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard X Professional Engineer <br />❑ Other (Spec) ENVIRONMENTA <br />Test Method Used: ❑ Pressure ❑ Vacuum X Hydr <br />❑ Other (Spec) <br />Test Equipment Used: Caldwell Level Change Indicator Equipment Resolution: .002 <br />UDC # 1&2 UDC # 3&4 UDC # 5&6 UDC # 7&8 <br />UDC Manufacturer: Total Containment Total Containment Total Containment Total Containment <br />UDC Material: Poly Plastic Poly Plastic Poly Plastic Poly Plastic <br />UDC Depth: 26" 26" 30" 30" <br />Height from UDC Bottom to Top 12" 12" 12" 12" <br />of Highest Piping Penetration: <br />Height from UDC Bottom to 8" 8" 8" 8" <br />Lowest Electrical Penetration: <br />Condition of UDC prior to Dry Dry Dry Dry <br />testing: <br />Portion of UDC Tested Water Line 14" Water Line 14" Water Line 14" Water Line 14" <br />Does turbine shut down when <br />UDC sensor detects liquid (both X Yes No ❑ NA X Yes No ❑ NA X Yes No ❑ NA X Yes No ❑ NA <br />product and water)?* <br />Turbine shutdown response time Not Alarmed Not Alarmed Not Alarmed Not Alarmed <br />Is system programmed for fail- X Yes ❑ No ❑ NA X Yes []No ❑NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA <br />safe shutdown?" <br />Was fail-safe verified to be Yes X No ❑ NA Yes X No ❑ NA Yes X No ❑ NA Yes X No ❑ NA <br />operational?* <br />Wait time between applying 5 Minutes 5 Minutes 5 Minutes 5 Minutes <br />water and starting test <br />Test Start Time: 11:40 11:45 11:55 12:00 <br />Initial Reading (RI): .001 .001 .001 .001 <br />Test End Time. 12:10 12:15 12:25 12:30 <br />Final Reading (RF): .001 .001 .001 .001 <br />Test Duration: 30 Minutes 30 Minutes 30 Minutes 30 Minutes <br />Change in Reading (RF -RI): 0 0 0 0 <br />Pass/Fail Threshold or Criteria: .005/30 Minutes .005/30 Minutes .005/30Minutes .005/30 Minutes <br />Test Result: X Pass, © Fail X Pass ❑ Fail! X Pass ❑ Far X Pass 0 Fad <br />Was sensor removed for testing? X Yes ❑ No ❑ NA X Yes ❑ No [INA X Yes ❑ No ❑ NA XYes ❑ No ❑ NA <br />Was sensor properly replaced and X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X 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 />' 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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