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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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0 <br />SWRCB, January 2002 <br />Page — of <br />I UNDER-DISPIENSER CONT NT ffMC) <br />TESTING <br />Test Method Developed By: <br />0 UDC Manufacturer <br />0 industry Standard 0 Professional Engineer <br />0 Other (SpecL) <br />Test Method Used. <br />0 Pressure <br />0 Vacuum <br />X Hydrostatic <br />0 Other (Sped <br />Test Equipment Used: <br />Equipment Resolution: <br />1-2 <br />UDC 0 3-4 <br />UDC 0 1-2 <br />UDC # 3-4 <br />Manufacturer: <br />BRAVO <br />BRAVO <br />BRAVO <br />BRAVO <br />UDC Material: <br />STEEL <br />STEEL <br />STEEL <br />STEEL <br />UDC Depth: <br />1091 <br />101, <br />10" <br />1077 <br />Height from UDC Bottom to Top <br />N/A <br />N/A <br />N/A <br />N/A <br />f Highest Pi in Penetration: <br />Height from UDC Bottom to <br />N/A <br />N/A <br />N/A <br />N/A <br />Lowest Electrical Penetration.: <br />Condition of UDC prior to <br />GOOD <br />GOOD <br />GOOD <br />GOOD <br />testing: <br />Portion of UDC Tested. <br />1000/0 <br />1000/0 <br />100% <br />100% <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />0 Yes CNo X NA <br />0 Yes ONo X NA <br />0 Yes ONo XNA <br />0 Yes ONo XNA <br />Eoduct and water)7 <br />Turbine shutdown response time <br />N/A <br />N/A <br />N/A <br />N/A <br />Issystem programmed for fail- <br />safe shutdown?* <br />xyes 11 No 0 NA <br />X Yes 0 No DNA <br />X Yes CNo DNA <br />X Yes DNo DNA <br />Was fail-safe ve_r_ffledto be <br />oral?* <br />X Yes 0 No 0 NA <br />N D <br />[�15 <br />X Yes 0 No 0 NA <br />X Yes No DNA <br />Q <br />XYes ONo DNA <br />Wait time between applying <br />_NKffENLTrES <br />15 MINUTES <br />15 MINUTES <br />15 MINUTES <br />pressure/vacuum./water and <br />starting test <br />.Test Start Time: <br />12.19 PM <br />12:19 PM <br />12:36 PM <br />1236 PM <br />Initial Reath N <br />3,284 <br />3.752 <br />3.283 <br />3.752 <br />Test End Time, <br />12:34 PM <br />12:34 PM <br />12:51 PM <br />12:51 PM <br />Final BEgm�A (RF): <br />3.283 <br />3.752 <br />3,283 <br />3.752 <br />Test Duration; <br />15 MINUTES <br />15 MINUTES <br />15 MINUTES <br />15 MINUTES <br />Change in Reading;QR_F-&): <br />.001 <br />0 <br />0 <br />0 <br />7- <br />Pass/Fail Threshold or Criteria: <br />.002 <br />.002 <br />1002 <br />.002 <br />13.; <br />6 <br />Was sensor removed for testing? <br />0 Yes DNo X NA <br />OYes ONo XNA <br />0 Yes ONo XNA <br />0 Yes 0 No X NA <br />Was sensor properly replaced and <br />verified functional after <br />Q Yes ONo XNA <br />CN6 XNA <br />C3 Yes 0 No XNA <br />©Yes C7 No XNA <br />COMMentS — include information on reLajrs madeprior to testing, and recommended or ailed tests) <br />DEPARTMENT <br />'if the entire depth of the UDC is not tested, specify how much was tested. If the answer to my of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested, (See SWRCI3 LG -160) <br />
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