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COMPLIANCE INFO 2013 - 2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231137
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COMPLIANCE INFO 2013 - 2015
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Last modified
5/13/2019 2:50:46 PM
Creation date
11/5/2018 12:44:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2015
RECORD_ID
PR0231137
PE
2361
FACILITY_ID
FA0001554
FACILITY_NAME
MIRACLE MILE MARKET
STREET_NUMBER
244
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13708014
CURRENT_STATUS
01
SITE_LOCATION
244 W HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARDING\244\PR0231137\COMPLIANCE INFO 2013 - 2015.PDF
QuestysFileName
COMPLIANCE INFO 2013 - 2015
QuestysRecordDate
7/21/2016 11:31:35 PM
QuestysRecordID
3150426
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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In S <br />`. 'kill <br />F. In -Tank Gauging / SIR Equipment: ® Check this box if tank gauging is used only for inventory control. <br />❑ Check this box if no tank gauging or SIR equipmR RECEIVED This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. ``GG■■ <br />Complete the following checklist: , <br />❑ <br />Yes <br />❑ <br />No' <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ <br />Yes <br />❑ <br />No' <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ <br />Yes <br />❑ <br />No' <br />Was accuracy of system product level readings tested? ENVIRON <br />LJQAITU <br />❑ <br />Yes <br />❑ <br />No' <br />Was accuracy of system water level readings tested? <br />❑ <br />Yes <br />❑ <br />No' <br />Were all probes reinstalled properly? <br />❑ <br />Yes <br />❑ <br />No' <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Joe Leak Detectors (LLD): <br />Comnlefe the fnllnwinn rherkliaf <br />❑ Check this box if LLDs are not installed. <br />YES <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br />Simulated leak rate: ® 3 g.p.h.; [10.1 g.p.h ; ❑ 0.2 g.p.h. <br />YES <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />YES <br />Was the testing apparatus properly calibrated? <br />YES <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />NA <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />NA <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />NA <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />NA <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />YES <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />In Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />87 120 3 26 21 PASS <br />91 100 4 21 15 PASS <br />Monitoring System Certification Page 3 o1`4 2/1-1/07 <br />7 <br />JTAL <br />CRIT <br />
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