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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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11 fest Equipment Used: INCON TS-STS l:yuipment Resolution: 0.0001 <br /> F[r:]Yes[:]No[]NA <br /> DC# UDC# UDC# UDC# <br /> Portion of UDC Tested' <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both ❑Yes❑No❑NA ❑ Yes❑ No❑ NA ❑Yes Q No❑NA <br /> product and water)?' <br /> "Turbine shutdown response time <br /> Is system programmed for fail- ❑Yes❑No Q NA ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑No❑ NA <br /> safe shutdown?' <br /> Was fail-safe verified to be ❑ Yes❑No❑NA ❑ Yes❑No❑NA ❑Yes❑No❑NA ❑ Yes❑No❑NA <br /> operational?* <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test <br /> Test Start Time: <br /> Initial Reading(Rt): — <br /> Test End Time: <br /> Final Reading(RO: <br /> Test Duration: 15 MIN 15 MIN 15 MIN 1 15 MIN <br /> Change in Reading R,:-RO: -- <br /> Pass/Fail Threshold or Criteria: 0.002 0.002 0.002 0.002 <br /> Test Result: ❑ Pass ❑ Fail Q Pass Fail Pass Fail Pass Fail <br /> Was sensor removed for testing? ❑ Yes❑No❑NA ❑ Yes❑No❑NA ❑ Yes❑No❑NA ❑Yes❑No Q NA <br /> Was sensor properly replaced and <br /> verified functional after testin��'? Q Yes❑ Na[:1 NA El Yes[:]No❑NA ❑YesE]No❑NA E] Ycs❑No❑NA <br />
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