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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231309
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2022 4:20:10 PM
Creation date
6/23/2020 6:45:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231309
PE
2361
FACILITY_ID
FA0003756
FACILITY_NAME
KISHIDA, GEORGE INC
STREET_NUMBER
1725
STREET_NAME
ACKERMAN
STREET_TYPE
DR
City
LODI
Zip
95240
APN
06219001
CURRENT_STATUS
01
SITE_LOCATION
1725 ACKERMAN DR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231309_1725 ACKERMAN_2013-2018.tif
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EHD - Public
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7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />Test Method Developed By: E] UDC Manufacturer Industry Standard E] Professional Oth <br />I Engir <br />E] Other (Spec (�71 <br />d Used: Lj Pressure ■ 11H !drostatic $ <br />El Other (Spec�fy) <br />Test Equipment Used: INCON TS -STS Equipment Resolution: 0.0001 <br />ONvg "P <br />W, <br />I MW1% =WIN <br />54,2ZA", N%Nt,3?3 MAN R, <br />'Lo, I I <br />UDC Manufacturer: <br />BRAVO <br />BRAVO <br />BRAVO <br />UDC Material: <br />STL <br />STL <br />STL <br />UDC Depth: <br />9" <br />951 <br />V <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />BOTTOM <br />BOTTOM <br />BOTTOM <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />BOTTOM <br />BOTTOM <br />BOTTOM <br />Condition of UDC prior to <br />testing: <br />FAIR <br />FAIR <br />FAIR <br />Portion of UDC Tested' <br />ENTIRE <br />ENTIRE <br />ENTIRE <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />❑ Yes r-1 No 0 NA <br />E] Yes [_1 No 0 NA <br />n Yes E]No®NA <br />E] Yes F No F1 NA <br />Turbine shutdown response time <br />N/A <br />N/A <br />N/A <br />Is system programmed for fail- <br />safe shutdown?' <br />[9 YesEl NoF1 NA <br />Z YesFINo[]NA <br />Z YesE]NonNA <br />El Yes F NoEl NA <br />Was fail-safe verified to be <br />operational?* <br />Z Yes F1 NoFINA <br />Z Yes [] No [] NA <br />Z YesFj No n NA <br />M Yes [_1 NoEl NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />5 MIN <br />I <br />5 MIN <br />5 MIN <br />Test Start Time: <br />1:00 <br />1:00 <br />1:00 <br />Initial Reading (Rj): <br />1.2177 <br />2.2314 <br />1.9005 <br />Test End Time: <br />1:15 <br />1:15 <br />1:15 <br />Final Reading (Rj): <br />1.2161 <br />2.2310 <br />1.9004 <br />Test Duration: <br />15 MIN <br />15 MIN <br />15 MIN <br />Change in Reading (RF-Rj): <br />0.0016 <br />0.0004 <br />0.0001 <br />Pass/Fai I Threshold or Criteria: <br />0.002 <br />0.002 <br />0.002 <br />Teri Result: <br />Z Pass 0,Fail <br />OPass 0 Fail <br />Z Pass E]Fail <br />Pass Fail <br />Was sensor removed for testing? <br />Was <br />[jYes No NA <br />CjYes 0NoZNA <br />_[]Yes [JNoZNA <br />❑ Yes [:1 No [j NA I <br />Was sensor properly replaced and <br />verified functional after testing? <br />E]YesMNoZNA <br />M Yes [_� No Z NA <br />n YN NA <br />es [:] No <br />n Ys F Na I <br />eE] NA <br />Comments — (include h?161-mation on repairs made prior to testing, anti i-ecattinietid(,cl.lbllovi,-ip,li)r.Taiied tests) <br />NOV 2 0 2015 <br />ENVIRONMEN'#1L <br />HF�ALTH r)E <br />PAI ?t RTMENT <br />1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to 4any of the questions indicate I with an <br />asterisk (*) is "NO" or "NA". the entire UDC must be tested. (See SWRCB LG -160) <br />Secondary Containment Test Results 5 of 5 <br />
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