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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 />:Z4113 0 a 11A 19 1 D1 KI U 10JI N Dk <br />Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />X Other (Specify)SWRCB <br />Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: iNCON TS -STS <br />Equipment Resolution: <br />UDC # 16 <br />UDC # <br />UDC # <br />UDC # <br />UDC Manufacturer: <br />UDC Material: <br />FRP <br />UDC Depth: <br />30" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />11" <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />N/A <br />Condition of UDC prior to <br />testing: <br />Fair <br />Portion of UDC Tested <br />2" above hightest <br />penetration <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?' <br />XYes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Turbine shutdown response time <br />Is system programmed for fail- <br />safe shutdown?* <br />XYes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was fail-safe verified to be <br />operational?* <br />❑ Yes ❑ No XNA <br />❑ Yes ❑ No [INA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />30 Min <br />Test Start Time: <br />12:22/12:45 <br />Initial Reading (Rj): <br />6.0742/6.0741 <br />Test End Time: <br />12:37/13:00 <br />Final Reading (RF): <br />6.0739/6.0747 <br />Test Duration: <br />15 min <br />Change in Reading (RF-Ri): <br />-0.0003/+0.0006 <br />Pass/Fail Threshold or Criteria: <br />+/- 0.002 <br />Test Result: <br />X Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />XYes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />XYes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑Yes 1-3No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Test boots installed Removed after testing. <br />' If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG -160) <br />
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