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COMPLIANCE INFO_2004 - 2007
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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PR0231455
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COMPLIANCE INFO_2004 - 2007
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Entry Properties
Last modified
5/1/2020 12:14:14 PM
Creation date
5/1/2020 9:04:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2007
RECORD_ID
PR0231455
PE
2361
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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Work Order: 2251168 <br /> rear. <br /> ,+r. <br /> Emergency Shut-Off(ESO) Testing Results & Checklist <br /> Facility Information Contractor Irlforrnatioi Test Results <br /> Co.Nmq: l Date: 3p <br /> dress: Pow <br /> f t LIQ Technician _...4YI�Y _ PASS <br /> Y St: <br /> or <br /> I asspnrl t: t FAIL(Next Pay Repair Required) <br /> _ Signa <br /> ahl.cttve of this:tll is m p'"ide assurience 00.14 when the ESO switch is rctisutrtd,as thr!ming rVw—cimstirs([-bines,and dbDtnatnl are n<-enrrg i[rri.inn re Mtaa Xe- WPi2e_ <br /> it lhry are re!el nlinaalN). itte ter+prncedureY aN guidelines shall trr iu accortlonce a•ilh'Jw.50 TeY[iag process. <br /> The iouowrny.o/wr.•ra rioa!s to pe ccmNrrrd. i t o selca <br /> SIYeX <br /> TE BATA <br /> I WA <br /> Nuntltrxof ESO <br /> ! Type of Swdclt: Y Push full ,nlonteflitry —_Plain light/T:' <br /> fol!Aomerlttiry lyf!a,locate and identity re-sel butlon[, <br /> T"o1 Turbine Control Relay Sysiern(Elecirical lsnrbition Center). T' <br /> Breiwn Bw —Poyror Sotution Cus9.mn FallkaLed Carolina Box Qlher — _ -�q7 ' <br /> I Tempe nt t urbinm Control Rolays: j hlake u�'JJI LI•'::Iyl l rjL,. •;t1;,,..v1.. n <br /> Type of Line Leak Veiertiew,.V Mechanical —ELUCPT PLLD <br /> PERFORMANCE TEST <br /> 1 Does the ESO shutdown power t0 Me DISPENSERS? - —_ <br /> ' Dpec the ESO shutdown ly,)vrer[c tna TURE3INES? _ ••; <br /> ( <br /> I.,;the 220 voltage 10 the turbine relay removed(eilhar the lino side or the-'r.lor side of the contacts or the coill? <br /> 1 Are tie INISPENSE.R DREAKEnS el_early identified I Inbeled?_ <br /> Aro tMe TURRINE BREAKERS clearly identified r labeled? _— <br /> ' Aro NI the ESf)x;at:rrnSlble and clearly Idertlilled r Labeled? '� ' <br /> UId t`le 6SONlunc:ion correctly(de•ener•�t?yrl froul edhar flat tine s.de -n <br /> r- I:a ntnr akin of the contacts or the cod;? <br /> .. ..... _.. _..._.. <br /> ............-- <br /> !A. If pw is ti0.briofly des,rib-i vrk t ,as waxnl: <br /> !B How was it cOrreGiHOI: o <br /> 'C Ir repair or ESO funetio taRy cannot be corrected sarre day(prig to leave.). e ale) The technician hfiW notify tlw Si1P <br /> Manager of the prol;Win,place an Mul of Servico'Tag on the ESO(s),ar:A xltity an ailten,ale rlaatt(i.A,locate circur <br /> cleary idcn5:v turbine and dispenstn txc�ltors for s�ut_ptf'n_ li trgg e.¢et c^[�reraencvl. � �== <br /> I'D Etitc Customer Snlydkrt Getter has been contacted for the repair. <br /> cMaint.'N.O.Ttcket• <br /> P(M TEST <br /> 1 Situ's lueling uystetit is fully gxrrational. <br /> 2 All equiprnertl SOClxed and any aces ports,htis,eri,,V;5 srns aretk:;e,J <br /> 3 All sallety baniladaG and any debris was best[e[noved. <br /> COMMENTS <br /> 5v bm4t cola ptett copy wllh vihe,doromentatbn In E-Malotanit— <br /> Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 7$759 <br />
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