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COMPLIANCE INFO_2013-2016
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2013-2016
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Entry Properties
Last modified
10/18/2023 9:06:11 AM
Creation date
6/3/2020 9:56:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2016
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\1777\PR0232397\MODIFICATION APPROVAL PLAN 2014.PDF
QuestysFileName
MODIFICATION APPROVAL PLAN 2014
QuestysRecordDate
11/16/2016 4:57:02 PM
QuestysRecordID
3258884
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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x. <br />OMM1151MINImi, to I sit <br />Height from Tank Top to ♦est <br />�, Ur:: 5�M�M <br />Electrical Penetration: <br />........ ........ <br />gm W, <br />Portion of Sump Tested' �M , MR �= <br /># <br />WBjMR1 �O#RIVVU =!4j[J*TW1j1 0 Yes 0 No 0 NA POM 0 Yes 0 No ONA <br />Turbine shutdown response time N/A <br />Is system programmed for fail-safe OYes ONo®NA <br />shutdown?' <br />OYes E3NoONA <br />OYes []No®NA <br />OYes ONoRNA <br />Was fail-safe verified to be OYes ONo®NA <br />operational?* <br />OYes ONo®NA <br />OYes ONoONA <br />OYes ONo®NA <br />Wait time between applying <br />pressure/vacuum/water and starting 30 minutes <br />test: <br />Test Stan Time: 09:02 AM <br />Initial Reading (114): 7.7192 <br />Tea End Time: 09:17 AM <br />Final Reading (R,?): 7.7181 <br />Test Duration: 15 min, <br />Change in Reading (RF -111): -0.0001 <br />Pass/Fail Threshold or Criteria: +/-0.002" <br />Test Result: Pass <br />Was sensor removed for testing? Yes <br />Was sensor properly replaced and Yes <br />verified functional after testiq? I I I I I I <br />Comments — (include iy rmation on repairs made 2LJor to�in and reconintende folloiv-ipforfailed tests) <br />Sensor functionality was not confirmed. This Procedure is not part of the Secondary Containment Testing scope of work. <br />1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to M of the questions indicated with an <br />asterisk M is "N®" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />
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