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COMPLIANCE INFO_2009-2013
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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PR0232494
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COMPLIANCE INFO_2009-2013
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Last modified
11/14/2023 12:52:58 PM
Creation date
6/3/2020 9:57:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2013
RECORD_ID
PR0232494
PE
2361
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232494_7373 WEST_2009-2013.tif
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EHD - Public
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SWRCB,January 2002 Page q of-7— <br /> 6. PIPING SUMP TESTING <br /> Test Method Developed By: G Sump Manufacturer ❑ Industry Standard7� <br /> Professional Engineer <br /> 0 Other(Sped) <br /> Test Method Used: D Pressure D Vacuum Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: i t Ckt, ^ C..ec. ' Equipment Resolution: d p Z <br /> Sump# Sump# Sump# Sump# <br /> Sump Diameter: L/I <br /> Sump Depth: If #4 <br /> Sump Material: <br /> Height from Tank Top to Top of �v t i <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest ` t <br /> Electrical Penetration: <br /> Condition of sump prior to testing: <br /> Portion of Sump Tested' to-'ev ",t(v,Z ' <br /> Does turbine shut down when t <br /> sump sensor detects liquid(both ❑Yes ❑No XNA ❑Yes ❑N ❑NA El Yes D N ! ❑NA D Yes 0 N ❑NA <br /> roduct and water)?' <br /> /\ <br /> Turbine shutdown response time <br /> Is system programmed for fail-safe D Yes ❑No NA ❑Yes o ❑NA ❑Yes o ❑NA ❑Yes o DNA <br /> shutdown?* y V� <br /> Was fail-safe verified to be D Yes ❑No YNA D Yes 4No ❑NA ❑Yes �No ❑NA ❑Yes jNo DNA <br /> o erational?` <br /> Wait time betweenapplying <br /> pressure/vacuum/ ate and starting <br /> test. /4 --1 1-2�ct.�"`ti! <br /> Test Start Time: `1 D U <br /> Initial Reading(111): t d v <br /> Test End Time: p <br /> Final Reading(RF): e)6 ) <br /> Test Duration: ��) t•t tyt .�- <br /> Change in Reading(RF-Rt): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: 7 Pass ❑ Fait ❑ Pass ❑ 6il 0 Pass O 4ail ❑ Pass ❑4it <br /> Was sensor removed for testing? es ❑No DNA Yes ❑No ❑NA Yes ❑No ANA Yes D No CkNA <br /> Was sensor properly.replaced and <br /> verified functional after testin ? Yes D No ❑NA D Yes ❑No ❑N Yes ❑No AA ❑ ❑No ❑ A <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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