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COMPLIANCE INFO 1986-2004
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2300 - Underground Storage Tank Program
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PR0231300
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COMPLIANCE INFO 1986-2004
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Last modified
5/31/2019 11:51:24 AM
Creation date
11/8/2018 10:00:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2004
RECORD_ID
PR0231300
PE
2361
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
01
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\W\WILSON\1756\PR0231300\COMPLIANCE INFO 1986-2004.PDF
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EHD - Public
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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> (,jYes ❑ No* Is the audible alarm operational? <br /> es ❑ No* Is the visual alarm operational? <br /> es I ❑ No* I Were all sensors visually inspected,functionally tested,and confirmed o erational? <br /> es ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> ( )Yes ( )No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ;,4-WA operational? <br /> V)'Yes ( )No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ( )N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) Gump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? e'Yes; ❑No. <br /> O Yes ( )No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> �_I /A mechanical overfill prevention valve is installed), is the overfill warning alar visible and audible at the tank <br /> fill oint(s)and operating If so,at what percent of tank capacity does the alar trigger? % <br /> ( )Yes* (�Ao Was any monitoring equipment replaced? If yes, identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement arts in Section E,below. <br /> ( )Yes* (�No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br /> Product; ❑ Water. If yes, describe causes in Section E,below. <br /> Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable <br /> es ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/01 <br />
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