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COMPLIANCE INFO_2010-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231127
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COMPLIANCE INFO_2010-2018
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Last modified
3/10/2021 2:55:56 PM
Creation date
6/23/2020 6:44:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0231127
PE
2361
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
01
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231127_1612 W HAMMER_2010-2018.tif
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EHD - Public
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S WRCB, January 2002 <br />101 1 ' . •► _1►►1 ► 111 1. ! <br />Page of <br />Test Method Developed By: <br />❑ UDC Manufacturer ❑ Industry Standard ~ e Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure <br />❑ Vacuum Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: <br />Equipment Resolution: <br />UDC # <br />UDC # UDC # UDC # <br />UDC Manufacturer: <br />UDC Material: <br />UDC Depth: <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)9* <br />Turbine shutdown response time <br />Is system programmed for fail- <br />safe shutdown?` <br />Was fail-safe verified to be <br />o erational?` <br />Wait time between applying <br />water and starting test <br />Test Start Time: <br />Initial Reading (RI): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or Criteria: <br />Test Result <br />: ,Pass„ Fail <br />Y..,.. 'pass,y'.7.Fa�l', _. Pass.."; .Cl Fail =Pass. Fail <br />Was sensor removed for testing? <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA Yes ❑ No ❑ NA Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA Yes ❑ No ❑ NA Yes ❑ No ❑ NA <br />Comments —(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />UDC's not tested with this event! <br />If the entire depth of the UDC is not tested, specify how much was tested. If the answer to M 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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