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COMPLIANCE INFO_1995-2004
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_1995-2004
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Last modified
1/30/2023 2:09:10 PM
Creation date
6/3/2020 9:43:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2004
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_1995-2004.tif
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EHD - Public
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04/16/2003 16:13 4089 5 SSS INC PAGE 03 <br />Monitoring Systern Certification - Page 2 of 3 <br />Site Address; 2575 Counta Club Blvd. @ Plymouth <br />D. Results of T est'inb / Servicing <br />Software: Version Install.cd. 119.02 <br />Date of TestingiServicing: 03119103 <br />6.V1J1 )ld Fb <br />6d + <br />a Yes <br />o* <br />e audible alarm operational'? <br />® Yes <br />NO <br />e visual alarm operational'? <br />® Yes <br />o* <br />P101 <br />e all sensors visually inspected, functionally tested, and confirmed operational? <br />pWeie <br />-a Yes <br />o* <br />all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />interfere with their proper operation? <br />Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g, modem) <br />U N/A <br />operational'? <br />® Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />monitoring system. detects a teak, fails to operate, or is electrically disconnected'? if yes: which sensors initiate <br />positive shut -down? (Check all that apply) z Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did ou. colafirm positive shut -down due to leaks and sensor failure/disconnection? 0 Yes 0 N <br />❑ Yes <br />❑ No* <br />For tank systcmp that utilize the x-Aoniu)ring system as the prim.,ry rank overfill warning device (i.e. no <br />® N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible- at the tank <br />fill point(&) and o orating properly'? If so, at what percent of tank capacity does the alarm tri er? 0 % <br />0 Yes* <br />11 Nei <br />Was any monitoring equipment replaced? If yes, identity specific sensors, probes, or other equipment replaced <br />and list the manufacturer name anis model for all replacement parts in. Section E, below_ <br />❑ Y�c* <br />® No <br />Wis liquid f rind inside any secondary containment systems designed as drysystems? (Check all that apply) <br />❑ Product; 0 Water. If yes, describe causes in Section E, below. <br />® Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settiiags7 (Attach sel-ue i orfs, if a licable. <br />19 Yes <br />❑ No" <br />Is all monitoring equipment operational per �,pccillicatioas? <br />* In Section :E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />
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