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COMPLIANCE INFO_2016-2017
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2016-2017
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Last modified
8/11/2021 8:36:01 AM
Creation date
6/23/2020 6:57:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2017
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_2016-2017.tif
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EHD - Public
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SWRCB, January 2002 <br />7. UNDER -DISPENSER CONTAINMENT UDQ TESTING <br />Page 13 <br />of 14 <br />Test Method Developed By: <br />❑ UDC Manufacturer A Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure <br />❑ Other (Spec) <br />❑ Vacuum <br />X Hydrostatic <br />Test Equipment Used: INCON TS -STS <br />Equipment Resolution: +/-0.002" <br />UDC Manufacturer: <br />UDC # 27 Master <br />Unknown <br />UDC # 27 Satellite <br />Unknown <br />UDC # 28 Master <br />Unknown <br />UDC # 28 Satellite <br />Unknown <br />UDC Material: <br />Fiber lass <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />UDC Depth: <br />30" <br />30" <br />30" <br />30" <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />14" <br />14" <br />14" <br />13" <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />91, <br />91, <br />91, <br />91, <br />Condition of UDC prior to <br />testing: <br />Dry <br />Dry <br />Dry <br />Dry <br />Portion of UDC Tested' <br />17" <br />17" <br />18" <br />17" <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?" <br />❑ Yes ❑No X NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No <br />9 NA <br />Turbine shutdown response time <br />Is system programmed for fail- <br />safe shutdown?* <br />❑ Yes ❑No ® NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No 9 NA <br />❑ Yes ❑ No <br />9 NA <br />Was fail-safe verified to be <br />operational?* <br />❑ Yes ❑ No XNA <br />❑ Yes ❑ No d NA <br />❑ Yes ❑ No A NA <br />'-]Yes ❑No <br />X NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />15min <br />15min <br />15min <br />15min <br />Test Start Time: <br />5:19pm <br />4:58pm <br />10:16am <br />9:57am <br />Initial Readin (RI): <br />3.1144" <br />3.9647' <br />4.0161" <br />4.0402" <br />Test End Time: <br />5:34pm <br />5:13pm <br />10:31 am <br />10:13am <br />Final Reading (RF): <br />3.1140" <br />3.9646" <br />4.0159" <br />4.0399" <br />Test Duration: <br />15min <br />15min <br />15min <br />15min <br />Change in Reading RF -RI): <br />0.0004" <br />0.0001 " <br />0.0002" <br />0.0003" <br />Pass/Fail Threshold or Criteria: <br />+/- 0.002" <br />+/- 0.002" <br />+/- 0.002" <br />+/- 0.002" <br />Test Result: <br />9 Pass D Fail <br />N Pass= D Fail <br />N Pass ' ❑ Fail': <br />® Pass ❑ Fail <br />Was sensor removed for testing? <br />® Yes ❑No ❑ NA <br />X Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />J Yes ❑ No <br />❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />®Yes []No <br />®Yes El 11NA <br />Yes 1-1No 11NA <br />Yes F1No <br />ElNA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />pry%% 1 r <br />M11 R ZO <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <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 `SIA", the entire UDC must be tested. (See SWRCB LG -160) <br />
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