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COMPLIANCE INFO_2011-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232224
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COMPLIANCE INFO_2011-2018
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Last modified
4/7/2021 10:16:11 AM
Creation date
6/3/2020 9:56:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_2011-2018.tif
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EHD - Public
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UNDER-DISPENSER CONTAINMENT (UDC) TESTING <br /> Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> ® Other (Specify)Caldwell Sump Tester <br /> Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> ❑ Other (Specify) <br /> Test Equipment Used: Caldwell Sump Tester Equipment Resolution: 0.005 inches in <br /> UDC # 1 UDC # 2 UDC # 3 UDC # <br /> UDC Manufacturer: Bravo Bravo Bravo Bravo <br /> UDC Material: Plastic Plastic Plastic Plastic <br /> UDC Depth: 8 inches 8 inches 8 inches 8 inches <br /> Height from UDC Bottom to 0 inches 0 inches 0 inches 0 inches <br /> Top of Highest Piping <br /> Penetration: <br /> Height from UDC Bottom to N/A N/A N/A N/A <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to Dry Dry Dry Dry <br /> testing: <br /> Portion of UDC Tested 6 inches 6 inches 6 inches 6 inches <br /> Does turbine shut down when <br /> UDC sensor detects liquid ❑Yes ❑No ®N/A ❑Yes [—]No ®N/A [:]Yes []No ®N/A ❑Yes ❑No ❑N/A <br /> Turbine shutdown response 3 sec 3 sec 3 sec 3 sec <br /> time <br /> Is system programmed for <br /> fail-safe shutdown ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ❑N/A <br /> Was fail-safe verified to be <br /> operational ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ❑N/A <br /> Wait time between applying <br /> pressure/vacuum/water and 5 minutes 5 minutes 5 minutes 5 minutes <br /> starting test <br /> Test Start Time: 9:00 12:00 10:30 11:30 <br /> Initial Reading (R,): 2nd Ring 2nd Ring 2"d Ring 2"d ring <br /> Test End Time: 9:30 12:30 11:00 12:00 <br /> Final Reading (RF): 2nd Ring 2"d Rin 2"d Ring 2"d ring <br /> Test Duration: 30 minutes 30 minutes 30 minutes 30 minutes <br /> Change in Reading (R,-R,): 0 Change 0 Change 0 Change 0 Change <br /> Pass/Fail Threshold or Criteria: 0.005 inches in 1/2 0.005 inches in 0.005 inches in 1/2 0.005 inches in 1/2 <br /> hour 1/2 hour hour hour <br /> Test Result: M Pass ❑ Fail 0 Pass ® Pass ❑ Fail 0 Pass Fail <br /> Fail <br /> Was sensor removed for ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A <br /> testing? <br /> Was sensor properly replaced <br /> and verified functional after ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A <br /> testing? <br /> Comments — (include information on repairs made prior to testing, and recommended follow-up for failed <br /> tests) <br />
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