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COMPLIANCE INFO 2010 - 2012
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0523684
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COMPLIANCE INFO 2010 - 2012
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Entry Properties
Last modified
7/6/2020 4:40:16 PM
Creation date
11/8/2018 9:53:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2012
RECORD_ID
PR0523684
PE
2351
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\R\ROTH\116\PR0523684\COMPLIANCE INFO 2010 - 2012.PDF
QuestysFileName
COMPLIANCE INFO 2010 - 2012
QuestysRecordDate
4/25/2018 3:57:18 PM
QuestysRecordID
3867065
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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MONIT(WING SYSTEM CERTHWATION <br /> CERTIFICATION / TEST DATE: February 17, 2010 <br /> Al. FACILITY A2. OWNER <br /> Name Fast Lane Lathrop Name Christina Gill <br /> Address 116 E. Roth Road,Lathrop,CA 95330 Address 111 Healdsburg Avenue, Healdsburg,CA 95448 <br /> Phone# 707-431-0541 Phone# 707-431-0541 <br /> Contact Christina Gill Contact Christina Gill <br /> I. RESULTS OF VACUUMIPRESSURE MONITORING EQUIPMENT TESTING <br /> Make I Model of Monitoring System: Veeder-Root TLS-350 <br /> System Type: ❑ Pressure ❑ Vacuum. <br /> SensorlD Q <br /> Component(s)Monitored by this Sensor: 91 vent <br /> S5 Sensor Functionality Test Result: ■ Pass; ❑ Fail Interstitial Communication Test Results: ■ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Components)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> How was interstitial communication verified? <br /> ❑ Leak Introduced at Far End of Interstitial Space:, ❑ Gauge: ❑ Visual Inspection: ■ Other(uescribe in Sao.J,below) <br /> Vacuum was restored to operating levels in all interstitial spaces: ■ Yes ❑ No(f no,describe in Sec J,below) <br /> J. COMMENTS <br /> Tested vacuum sensor at the test port. <br /> 11 If sensor su60RNny deteCU rs simmaten vawumipmrsure leak Imremord in the Ime sinal spec at me furthest point from the sensor.va uomlpressure has been demonstrated to be cammmicatm,tnrovahouuhe Imesnce <br /> 02008 Walton Engineering,Inc. <br /> Page 3a of 3 <br />
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