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COMPLIANCE INFO_2010-2015
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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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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SWRCB, January 2002 REQ�iVfED <br />8. UNDER -DISPENSER CONTAINMENT (UDC) TESTING i N\1 11 iz � N A <br />Test Method Developed By: <br />❑ UDC Manufacturer <br />❑ Other (Spec) <br />❑ Industry Standard X Professional Engineer <br />ENVIRONRAE <br />Test Method Used: <br />❑Pressure <br />❑ Other (Spec) <br />11 Vacuum <br />X Hydro lTiT l) 0A, T: <br />Test Equipment Used: Caldwell Level Change Indicator <br />UDC # 9&10 <br />UDC # 11&12 <br />Equipment Resolution: .002 <br />UDC # UDC # <br />UDC Manufacturer: <br />Total Containment <br />Total Containment <br />UDC Material: <br />Poly Plastic <br />Poly Plastic <br />UDC Depth: <br />32" <br />32" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />12" <br />12" <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />8" <br />8" <br />Condition of UDC prior to <br />testing: <br />Dry <br />Dry <br />Portion of UDC Tested <br />Water Line 14" <br />Water Line 14" <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)? <br />X Yes No ❑ NA <br />X Yes No ❑ NA <br />Turbine shutdown response time <br />Not Alarmed <br />Not Alarmed <br />Is system programmed for fail- <br />safe shutdown?` <br />X Yes ❑ No ❑ NA <br />X Yes ❑ No ❑ NA <br />Was fail-safe verified to be <br />operational?* <br />Yes X No ❑ NA <br />Yes X No ❑ NA <br />Wait time between applying <br />water and starting test <br />5 Minutes <br />5 Minutes <br />Test Start Time: <br />12:40 <br />12:45 <br />Initial Reading (RI): <br />.001 <br />.001 <br />Test End Time: <br />1:10 <br />1:15 <br />Final Reading (RF): <br />.001 <br />.001 <br />Test Duration: <br />30 Minutes <br />30 Minutes <br />Change in Reading (RF -RI): <br />0 <br />0 <br />Pass/Fail Threshold or Criteria: <br />.005/30 Minutes <br />.005/30 Minutes <br />Test Result: <br />X Pass ' ❑Fail <br />X Pass D Fail <br />'b Pass ❑Fail` Pass0 Fail <br />Was sensor removed for testing? <br />X Yes ❑ No ❑ NA <br />X Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />X Yes ❑ No ❑ NA <br />X Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />t 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 />M <br />
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