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COMPLIANCE INFO_2016-2017
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_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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r <br /> SWRCB,January 2002 Page 3 of 3 <br /> 7. UNDER-DISPENSER CONTAINMENT UDC TESTING <br /> Test Method Developed By: ❑UDC Manufacturer d Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum 9 Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: INCON TS-STS Equipment Resolution: +/-0.002" <br /> UDC# 22 Satellite UDC# UDC# UDC# <br /> UDC Manufacturer: Unknown <br /> UDC Material: Fiber lass <br /> UDC De the 30" <br /> Height from UDC Bottom to Top 13" <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to 91, <br /> Lowest Electrical Penetration: FlIVIRONMEN iAL HLA: - <br /> Condition of UDC prior to D IT1SE <br /> testing: <br /> Dry <br /> Portion of UDC Tested' 19" <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both ❑Yes []No IN NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> product and water)?* <br /> Turbine shutdown response time N/A <br /> Is system programmed for fail- <br /> safe shutdown?' 11 Yes []No ®NA El Yes 11 No 11 NA El Yes F1 No El NA 11 Yes 11 No 11 NA <br /> Was fail-safe verified to be ❑Yes ❑No ®NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> operational?* <br /> Wait time between applying <br /> pressure/vacuum/water and 15 Minutes <br /> starting test <br /> Test Start Time: 10:37am <br /> Initial Reading RI : 4.1081" <br /> Test End Time: 10:52am <br /> Final Reading(RF): 4.1070" <br /> Test Duration: 15 Minutes <br /> Change in Reading (RF—RI): 0.0011" <br /> Pass/Fail Threshold or Criteria: +/-0.002" <br /> Test Result: Ali Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑;Pass ❑Fail <br /> Was sensor removed for testing? ®Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testin ? Yes ❑No [INA ❑Yes El F]NA ❑Yes 11No E-1NA 11 Yes [INo ❑NA <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Disp. #22 Satellite UDC is passing hydrostatic 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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