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COMPLIANCE INFO_2016 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232388
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COMPLIANCE INFO_2016 - 2018
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Last modified
6/23/2022 10:04:29 AM
Creation date
11/5/2018 6:40:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2018
RECORD_ID
PR0232388
PE
2361
FACILITY_ID
FA0003607
FACILITY_NAME
WOODBRIDGE AM PM*
STREET_NUMBER
18806
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
WOODBRIDGE
Zip
95258
APN
01543010
CURRENT_STATUS
01
SITE_LOCATION
18806 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LOWER SACRAMENTO\18806\PR0232388\COMPLIANCE INFO 2016.PDF
QuestysFileName
COMPLIANCE INFO 2016
QuestysRecordDate
6/12/2017 11:04:41 PM
QuestysRecordID
3225123
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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F. In-Tank Gauging Equipment: ~� �r <br /> 9 9/SIRE q p ® Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ❑ Yes ❑ No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No' Was accuracy of system product level readings tested? <br /> ❑ Yes ❑ No' Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No' Were all probes reinstalled properly? <br /> ❑ Yes ❑ No' 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 correctetl. <br /> .ine Leak Detectors(LLD: ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ® Yes ❑ No' For equipment start-up or annual equipment certific=system <br /> as a leak simulated to verity LLD performance? (Check all that apply) <br /> ❑ N/A Simulated leaM <br /> 3 g.p.h.; ❑0.1 g.p.h ❑0. <br /> ® Yes ❑ No' Were all LLDsd operational al and accurate witlatory requirements? <br /> ® Yes ❑ No- Was the testinus properly calibrated?Yes ❑ No' For mechanicoes the LLD restrict product fletects a leak?N/A <br /> Yes ❑ No' For electronics the turbine automatically shthe LLD detects a leak?N/AYes ❑ No' For electronic es the turbine automatically shany portion of the monitoring system is disabled or disconnected?N/AYes ❑ No' For electronic s the turbine automatically shny portion of the monitoring system malfunctions or fails a test? <br /> ® N/A <br /> Yes ❑ No' For electronic LLD$,have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> ® Yes ❑ No' Were all items on the equipment manufacturers maintenance checklist completed? <br /> In Section H,below,describe how and when these tleficiencies were or will be correctetl. <br /> H. Comments: Leak Detectors <br /> ALL 3 LDS PASSED <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br />
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