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COMPLIANCE INFO_2008-2018
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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PR0516354
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COMPLIANCE INFO_2008-2018
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Last modified
4/7/2021 2:01:45 PM
Creation date
6/3/2020 10:00:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2018
RECORD_ID
PR0516354
PE
2361
FACILITY_ID
FA0012437
FACILITY_NAME
CHEVRON 352324
STREET_NUMBER
3304
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95219
APN
07120013
CURRENT_STATUS
01
SITE_LOCATION
3304 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0516354_3304 W HAMMER_2008-2018.tif
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EHD - Public
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S WICB, January 2002 <br />Test Method Developed By: <br />Test Method Used: <br />Test Equipment Used: <br />Page 4 of <br />6. PIPING SUMP TESTING <br />D Sum Manuf <br />F acturer ❑ Industry Standard Professional Engineer <br />❑ Other (Sped) <br />0 Pressure 0 Vacuum _ .'Hydrostatic <br />0 Other (Spec) <br />t Y,7, 'v7f �7 ro Equipment Resolution: C? ® ^ <br />, <br />Sump # ( Sump # of Sum # <br />P Sump # <br />Sump Diameter: <br />Sump Depth: <br />,� .g ,r <br />/ g <br />Sump Material: <br />err ' c< ` 5, <br />' <br />i <br />Height from Tank Top to Top of <br />Hi est Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration:15 <br />� <br />Condition of sump prior to testing: <br />D 0,< <br />Portion of Sump Tested <br />LJ 4 4- eY L T � 211 eA7 4,.t�erL <br />ZZ <br />�°� <br />Does turbine shut down when <br />, V <br />sump sensor detects liquid (both <br />product and water)?* <br />Yes ❑ No ❑ NA <br />Yes ❑ No 0 NAYes <br />0 No 0 NA <br />❑Yes D�No ❑ NA <br />Turbine shutdown response time <br />®f <br />OU <br />C W4 <br />Is system programmed for fail-safe <br />shutdown?` <br />)21 Yes ❑ No ❑ NA <br />XYes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />❑ Yes ❑ ❑ NA <br />Was fail-safe verified to be <br />OP stational?` <br />0 Yes �Wo ❑ NA <br />❑ Yes o ❑ NA <br />❑Yes To ❑ NA <br />❑Yes ❑ ❑ NA <br />Wait time betweenI_VR ing <br />pressure/vacu ater d starting <br />test: <br />Test Start Time: <br />10 KA, I <br />Initial Reading (Ri) <br />✓. C l �� '; <br />r< "f c l rc i r <br />Test End Time: <br />Final Reading (RF):, <br />Ptc{ i+ <br />, <br />4 -- <br />Test <br />Test Duration:o <br />r <br />Change in Reading (RF -R,): <br />1,10 <br />Pass/Fail Threshold or Criteria:V010 <br />., !rr. <br />Test Result: <br />«, r <br />Pass ❑ Fait <br /><r�� <br />Pass D Fail <br />'1 <br />Was sensor removed for testing? <br />KYes 0 No D NA <br />es D No ❑ NAq1yes <br />ass D Fail <br />❑ No ❑ NA <br />D Pass ❑ F <br />0 es ❑ No ❑ '' A <br />Was sensor properly replaced and <br />verified fimctional after testis ? <br />Yes ❑ No ❑ NA <br />11Yes ❑ No 0 NA <br />'Yes 0 No ❑ NA <br />0 Yes ❑ No ❑ N <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 ggy 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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