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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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PR0231176
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COMPLIANCE INFO_2020
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Last modified
1/4/2021 11:39:50 AM
Creation date
6/1/2020 10:46:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231176
PE
2361
FACILITY_ID
FA0003798
FACILITY_NAME
MARCH LANE 76*
STREET_NUMBER
2701
Direction
W
STREET_NAME
MARCH
STREET_TYPE
LN
City
STOCKTON
Zip
95219
APN
11619007
CURRENT_STATUS
01
SITE_LOCATION
2701 W MARCH LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 2 of!) <br /> Vi . INVENTORY OF EQUIPMENT CERTIFIED <br /> A separate Monitoring System Cerfihcation Form must be prepared for each monitoring system confrolpane/. <br /> Make of Monitoring System Control Panel Model of Monitoring System Control Panel Software Version Installed <br /> Veeder Root TLS-350 331 . 00 <br /> Check the appropriate boxes to Indicate specific equipment inspecfed/seryIced. <br /> Monitoring Device Used I Device Model # Monitoring Device Used Y Device Model # <br /> TANK ID : 01 Reg TANK ID: 02 Prem <br /> (By tank number, stored product etc.) fiBvtank number, stored product, etc.) <br /> • In-Tank Gauging (SW Tank) JVR847390w109 0 In-Tank Gauging (SW Tank) IVR847390A09 <br /> • Annular Space or Vault Sensor I VR 794390420 JZ Annular Space or Vault Sensor I VR 794390420 <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> Product Piping Product Piping <br /> 0 Mechanical LLD Vaporless LD2000 m Mechanical LLD I Vaporless LD2000 <br /> ❑ Electronic LLD ❑ Electronic LLD <br /> ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) <br /> m Sump Sensor VR 794380-208 m Sump Sensor VR 794380-208 <br /> ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) 1 <br /> Fill Piping Fill Piping <br /> ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) <br /> ❑ Sump Sensor ❑ Sump Sensor <br /> ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) <br /> Vent Piping Vent Piping <br /> ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) <br /> ❑ Sump Sensor ❑ Sump Sensor <br /> ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) <br /> Vapor Recovery Piping Vapor Recovery Piping <br /> ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) <br /> ❑ Sump Sensor ❑ Sump Sensor <br /> ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) <br /> Monitoring Device Used Device Model # Monitoring Device Used.,±:::: Device Model # <br /> TANK ID: 03 Diesel TANK ID : <br /> (By tank number, stored product, etc. ) 18y tank number stored product, etc. <br /> 0 In-Tank Gauging (SW Tank) VR 847390-109 ❑ In-Tank Gauging (SW Tank) <br /> 0 Annular Space or Vault Sensor VR 794390420 ❑ Annular Space or Vault Sensor <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> Product Piping Product Piping <br /> is Mechanical LLD RJ 118-058-5 ❑ Mechanical LLD <br /> ❑ Electronic LLD ❑ Electronic LLD <br /> ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) <br /> 0 Sump sensor VR 794380-208 ❑ Sump Sensor <br /> ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) <br /> Fill Piping Fill Piping <br /> ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) <br /> ❑ Sump Sensor ❑ Sump Sensor <br /> ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) <br /> Vent Piping Vent Piping <br /> ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) <br /> ❑ Sump Sensor ❑ Sump Sensor <br /> ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) <br /> Vapor Recovery Piping Vapor Recovery Piping <br /> ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) <br /> ❑ Sump Sensor ❑ Sump Sensor <br /> El Sensor (Sump) El VPH Sensor (Sump) <br /> ID = Identification, SW = Single-Waled, VPH = VacuurvPrmayef"rostadc LLD ~ Line Leak Detector <br />
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