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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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Entry Properties
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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6. UNDER-DISPENSER CONTAINMENT UDC TESTING <br /> Company Name , 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 # 9/10 UDC # 11 / 12 UDC # UDC # <br /> UDC Manufacturer: UNK UNK <br /> UDC Material : PLASTIC PLASTIC <br /> UDC Depth : 28 " 28 " <br /> FHeight from UDC Bottom to Top 8 " 8 " <br /> i hest Pi in Penetration : <br /> ht from UDC Bottom to 10 " 10 "est Electrical Penetration : <br /> dition of UDC prior to FAIR FAIR <br /> testing: <br /> Portion of UDC Tested ' 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 shutdown response time 6 SEC 6 SEC <br /> Is system programmed for fail- <br /> safe shutdown?' ® Yes ❑ No ❑ NA ® Yes F1No ElNA ❑ Yes ❑ No F] NA ElYes ElNo F1NA <br /> ailf <br /> Was ail-safe verified to be <br /> o s nal? « ® Yes F] No El NA ❑ Yes El No ❑ NA F] Yes El No El NA F1 Yes El No F1 NA <br /> Wait time between applying <br /> pressure/vacuum/water and 15 MIN 15 MIN <br /> starting test <br /> Test Start Time : 12 : 24 12 : 24 <br /> Initial Reading (RI) : 0.8178 3. 1544 <br /> Test End Time : 12 : 39 12 : 39 <br /> Final Reading ( RF) : 0. 8171 3. 1540 <br /> Test Duration : 15 MIN 15 MIN 15 MIN 15 MIN <br /> Change in Reading (RF-Rj) : 0. 0007 0. 0004 <br /> Pass/Fail Threshold or Criteria : 0.002 0. 002 0. 002 0. 002 <br /> Test Result: ® 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 laced ? ® Yes F] No E] NA ® Yes [:] No F1 NA El Yes El No El NA ❑ Yes F1 No El NA <br /> testinComments — (include information on repairs made prior to testing, and recommended follow-up for f•ailed tests) <br /> Secondary Containment Test Results 6 of 6 <br />
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