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COMPLIANCE INFO_2014-2017
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2014-2017
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Last modified
3/8/2021 4:18:43 PM
Creation date
6/23/2020 6:43:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2017
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231125_1210 E HAMMER_2014-2017.tif
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EHD - Public
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RECEIV6U <br /> o v 15 2017 <br /> ENVIRONMENTAL HLTi <br /> SWRCB,•January 2002 DEPARTMENT Page of <br /> 7. UNDER-DISPENSER CONTAINMENT UDC TESTING <br /> Test Method Developed By: ❑UDC Manufacturer ❑Industry Standard Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: 0 Pressure ❑Vacuum 174lydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: r/t"ILL jj Equipment Resolution: <br /> UDC# UDC# UDC# UDC# 7-8 <br /> UDC Manufacturer: f A-VD Lsxwo NA-U® Bravo <br /> UDC Material: Cts [ coh4ed 5kat Coated Steel <br /> UDC Depth: 91f <br /> Height from UDC Bottom to Top _-.4fAs ftorn r,04e12S Fkom jS From Enters From Bottom <br /> of Highest Piping Penetration: qAf20 Q01J p o M <br /> Height from UDC Bottom to 16tJjUg ryLoIn Fr+AS FIZeen Fiu#tS /7ZOM Enters From Bottom <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to <br /> testing: Dry <br /> Portion of UDC Tested vR�_ i) W (p Water Level 6" <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both 0 Yes XNo ❑NA ❑Yes k o ❑NA 7 Yes ;(No ❑NA ❑Yes N No DNA <br /> product and water?. <br /> Turbine shutdown response time tj/ 0}- N/A <br /> Is system programmed for fail- PLY 0 No ❑NA XYes 0 No ❑NA 'Yes 0 No 0 NA N Yes ❑No 0 NA <br /> safe shutdown?` <br /> Was fail-safe verified to be ❑Yes KNo 0 NA ❑Yes Po 0 NA ❑Yes XNo ❑NA G Yes XNo ❑NA <br /> operational? <br /> Wait time between applying <br /> pressure/vacuum/water and /N3 ra• M;tJ S^ m/N. 5 Min <br /> starting test <br /> Test Start Time: 1` pp p-M `\` ov 1.00 P t•. 1:00pm <br /> Initial Reading(Rj): 0,000 0.00 <br /> Test End Time: lvt\• U 1:15pm <br /> Final Reading(RF): 0 ,00 0.00 <br /> Test Duration: 5 m 15 \ `F4 15 min <br /> Chane in Reading(RF-Ri): 0 Q ® 0 <br /> Pass/Fail Threshold or Criteria: 604V9, ;P . 0,03- / lgfn i r3 . 002 1 N .002/15 <br /> Test Result: Pass 0 Fail Pass 0 FailPass 0 Fail l3 Pass 21 Fail <br /> Was sensor removed for testing? ❑Yes ❑No J6 NA 0 Yes ❑No SNA 0 Yes 0 No NA ❑Yes 0 No 2rNA <br /> Was sensor properly replaced and <br /> verified functional after testing? 0 Yes ❑No on � '� 11I9 NA 0 Yes 0 No NA ❑Yes ❑No NA Yes 0 No NA <br /> Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests) <br /> #7&8 Fail and being repaired by another contractor. <br /> If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG-160) <br />
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