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COMPLIANCE INFO_2020
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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PR0232534
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COMPLIANCE INFO_2020
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Last modified
11/19/2024 10:19:33 AM
Creation date
1/17/2020 12:02:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0232534
PE
2361
FACILITY_ID
FA0004547
FACILITY_NAME
CHEVRON STATION #201383
STREET_NUMBER
1960
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23402001
CURRENT_STATUS
01
SITE_LOCATION
1960 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 3 of 6) <br /> Monitoring Device Used Device Model # Monitoring Device Used Device Model # <br /> Vent/Transition Sump ID: Vent/Transition Sump ID: <br /> I—Sump Sensor r— Sensor <br /> r VPH Sensor I— VPH Sensor <br /> UDC ID: 1/2 UDC ID: 7/8 <br /> W Electronic Sensor 794380-208 W Electronic Sensor 794380-208 <br /> I—Mechanical Device r Mechanical Device <br /> 7 VPH Sensor I—VPH Sensor <br /> UDC ID: 5/6 UDC ID: 11/12 <br /> P Electronic Sensor 794380-208 r Electronic Sensor 794380-208 <br /> I—Mechanical Device r Mechanical Device <br /> I`VPH Sensor I VPH Sensor <br /> UDC ID: 9/10 UDC ID: <br /> P Electronic Sensor 794380-208 r Electronic Sensor <br /> r Mechanical Device f Mechanical Device <br /> r VPH Sensor r VPH Sensor <br /> UDC ID: 3/4 UDC ID: <br /> P Electronic Sensor 794380-208 r Electronic Sensor <br /> r Mechanical Device r Mechanical Device <br /> F VPH Sensor I VPH Sensor <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> r Other(Specify in section VII) r Other(Specify in section VII) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> rOther(Specify in section VII) I—Other(Specify in section VII) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> rOther(Specify in section VII) I—Other(Specify in section VII) <br /> Include information for every underground storage tank component monitored by this monitoring system control panel.If the monitoring system <br /> control panel monitors more components than this form accommodates additoinal copies of these pages may be attached. <br /> VII. COMMENTS <br /> Use this section to provide any additional comments about the inventory of the equipment certified. <br /> CERS=California Environmental Reporting System,ID=Identification,UST=Underground storage tank,ICC=International Code Council <br />
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