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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MOSSDALE
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2020
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Last modified
12/22/2020 9:25:12 AM
Creation date
6/11/2020 3:51:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
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
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SJGOV\kblackwell
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EHD - Public
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Test Equipment Used: INCON TS-STS Equipment RCsolutiun: O.0001 <br /> UDC a UDC # T uuC# UDC it <br /> Portion of UDC Tested' <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both ❑ Yes❑ No❑ NA ❑ Yes❑ No❑ NA ❑ Yes❑ No❑ NA ❑ Yes❑ No❑ NA <br /> product and water)?* _ <br /> Turbine shutdown response time <br /> Is system programmed for fail- <br /> ❑Yes❑No❑NA ❑ Yes❑ No❑NA ❑ Yes❑No❑NA E]Yes❑No❑NA � <br /> safe shutdown?' <br /> Was fail-safe verified to be <br /> operational?' E]Yes❑No Q NA ❑ Yes Q No❑NA E] Yes❑ No❑ NA Q YesE:1 No[-]NA <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test <br /> Test Start Time: <br /> Initial Reading Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> "fest Duration: 15 MIN 15 MIN 15 MIN 15 MIN <br /> Change in Reading RF-Ri : <br /> Pass/Fail Threshold or Criteria: 0.002 0.002 0.002 0.002 <br /> Test Result: ❑ Pass LJ Fail El Pass 0Fail ❑ Pass ❑ Fail El Pass El Fail <br /> Was sensor removed for testing? ❑Yes[:]No Q NA ❑ Yes❑No❑NA Q Yes❑No❑NAYes No NA <br /> Was sensor properly replaced and Q Yes E]No C-] NA ❑Yes E]No C-]NA ❑ Yes❑No El NA Q Yes❑ No❑NA <br /> verified functional after test in,'? <br /> Cont ntents—(include information on repairs made prior to testing, and recommended follor>>-up for failed tests) <br />
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