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COMPLIANCE INFO 2012 - 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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PR0231211
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COMPLIANCE INFO 2012 - 2018
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Last modified
5/15/2019 5:10:41 PM
Creation date
5/15/2019 2:24:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2018
RECORD_ID
PR0231211
PE
2371
FACILITY_ID
FA0002409
FACILITY_NAME
SAFEWAY FUEL CENTER #2707
STREET_NUMBER
6425
Direction
N
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
6425 N PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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Monitoring System Certification-Page 3 of 3 <br /> Site Address: 6426 N. Pacific Ave. Date of Testing/Servicing: 1118118 <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 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 manufacturer's maintenance checklist completed? <br /> * In Section H below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLD's are not installed. <br /> Complete the following checklist: <br /> ® Yes n No* For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: ® 3 g.p.h.(1.); ❑ 0.1 g.p.h.(2.); ❑ 0.2 g.p.h.(2.). <br /> Notes: 1. Required for equipment start-up certification and annual certification. <br /> 2. Unless mandated by local agency,certification required only for electronic LLD start-up. <br /> ® Yes ❑ No* Were all LLD's confirmed operational and accurate within regulatory requirements? <br /> ® Yes I] No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For mechanical LLD's,does the LLD restrict product flow if it detects a leak? <br /> ® N/A <br /> ® Yes ❑ No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> ® Yes ❑ No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ N/A or disconnected? <br /> ® Yes ❑ No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system <br /> ❑ N/A malfunctions or fails a test? <br /> ® Yes ❑ No* For electronic LLD's,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> ® Yes ❑ No* I Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In Section H below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br />
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