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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2019
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Last modified
9/10/2020 3:54:55 PM
Creation date
9/10/2020 3:45:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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5. UNDER-DISPENSER CONTAINMENT (UDQ TESTING <br /> Company Natne : B .Z. Service Station Maintenance <br /> Company Address : 1041 Triangle Ct. , West Sacramento, CA 95605 <br /> Credentials : ® CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester <br /> License Type . ICC License Number: 433159 <br /> Test Equipment Used : INCON TS-STS Equipment Resolution : 0. 0001 <br /> UDC # 1 /2 UDC # 3/4 UDC # 5/6 UDC # 7/8 <br /> UDC Manufacturer : UNK UNK UNK UNK <br /> UDC Material : PLASTIC PLASTIC PLASTIC PLASTIC <br /> UDC Depth : 28 " 28 " 28 " 28 " <br /> Height from UDC Bottom to Top 8 " 8 " 8 " 8 " <br /> of Highest Piping Penetration : <br /> Height from UDC Bottom to 9 " 10 " 9 " 9 " <br /> Lowest Electrical Penetration : <br /> Condition of UDC prior to FAIR FAIR FAIR FAIR <br /> testing: <br /> Portion of UDC Tested ' 20 " 20 " 20 " 20 " <br /> Does turbine shut down when <br /> UDC sensor detects liquid (both ® Yes ❑ No NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA <br /> product and water)? ` <br /> Turbine e 'shutdown response time 1 6 SEC 6 SEC 6 SEC 6 SEC ' <br /> Is system programmed for fail- ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA <br /> safe shutdown?' <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 MIN 15 MIN 15 MIN 15 MIN <br /> starting test <br /> Test Start Time : 9 : 34 9 : 34 11 : 17 11 : 17 <br /> Initial Reading (RI) : 3.3639 4.0640 2.0558 0.6890 <br /> Test End Time : 9 : 58 9 : 58 11 : 32 11 : 32 <br /> Final Reading (RF): 3.3630 4.0638 2. 0570 0.6894 <br /> Test Duration : 15 MIN 15 MIN 15 MIN 15 MIN <br /> Change in Reading (RF-Rj) : 0.0009 0.0002 0. 0012 0.0004 <br /> Pass/Fail Threshold or Criteria: 0. 002 0. 002 0. 002 0. 002 <br /> Test Result: ® Pass ❑ Fail ® Pass ❑ Fail Z Pass i ❑ Fail Pass ❑ Fail <br /> Was sensor removed for testing? ® Yes El No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA <br /> Was sensor properly replaced and <br /> ® <br /> verified functional after testing? Yes ❑ No E] NA ® Yes No n NA ® Yes E] No ❑ NA ® Yes ❑ No E] NA <br /> Comments — (include information on repairs made prior to testing, and recommended follow- up for•failed tests) <br /> 3/29/2019 - Tested 6 UDCs for S13989 , all tests PASSED . <br /> Secondary Containment Test Results 5 of 6 <br />
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