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COMPLIANCE INFO_2019
Environmental Health - Public
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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
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KBlackwell
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EHD - Public
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5. UNDER-DISPENSER CONTAINMENT(UDQ 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# 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 M Yes❑No❑NA N Yes❑No❑NA M Yes❑No❑NA ®Yes❑No❑NA <br /> product and water)?* <br /> Turbine shutdown response time 6 SEC 6 SEC 6 SEC 6 SEC <br /> Is system programmed for fail- N Yes❑No❑NA M Yes❑No❑NA M Yes❑No❑NA M Yes❑No❑NA <br /> safe shutdown. <br /> Was fail-safe verified to be N Yes❑No❑NA N Yes❑No❑NA N Yes❑No❑NA N Yes❑No❑NA <br /> o erational?' <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-Ri): 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 N Pass ❑ Fail 0 Pass El Fail <br /> Was sensor removed for testing? N Yes LJ No 0 NA N Yes❑No❑NA N Yes❑No❑NA Z Yes No NA <br /> Was sensor properly replaced and <br /> ®Yes <br /> verified functional after testing? <br /> ❑No El NA ®Yes E]No E]NA ®Yes E]No E]NA ®Yes El No El NA <br /> Comments— (include infaa-mation 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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