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COMPLIANCE INFO_2011-2013
Environmental Health - Public
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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2011-2013
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Last modified
7/28/2021 4:50:00 PM
Creation date
6/23/2020 6:57:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2013
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2011-2013.tif
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EHD - Public
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SWRCB, January 2002 Page of <br />S. PIPING SUMP TESTING <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />X Other (Spec�)SWRBC <br />Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: INCON TS -STS <br />Equipment Resolution: <br />Sump # T-5 91 <br />Sump # <br />Sump # <br />,.rwn <br />Sump # <br />Sump Diameter: 42" <br />Sump Depth: 83" <br />Sump Material: FRP <br />Height from Tank Top to Top of 14" <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest 4819 <br />Electrical Penetration: <br />Condition of sump prior to testing: Fair <br />Portion of Sump Tested' 2" above highest <br />penetration <br />Does turbine shut down when <br />sump sensor detects liquid (both X Yes ❑ No NA <br />product and water)?" <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Turbine shutdown response time N/A <br />Is system programmed for fail-safe X Yes ❑ No ❑ <br />shutdown?* NA <br />❑ yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes 0 No ❑ NA <br />Was fail-safe verified to be X Yes ❑ No ❑ <br />operational?" NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Wait time between applying <br />pressure/vacuum/water and starting 30 minutes <br />test: <br />Test Start Time: 1:07/1:28 <br />Initial Reading (Rj): 7.8119/7.8116 <br />Test End Time: 1:2211:43 <br />Final Reading (RF): 7.8110/7.8108 <br />Test Duration: 15 min <br />Change in Reading (RF -R,): -0.0009/-0.0008 <br />Pass/Fail Threshold or Criteria: +/-0.002 <br />Test Result: X Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? XYes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and XYes ❑ No ❑ NA <br />verified functional after testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Test boot installed Removed after testinv <br />' If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk(*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />
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