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COMPLIANCE INFO_1995-2004
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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
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_1995-2004.tif
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EHD - Public
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04/19/2002 14:03 40897lak&5 SSS INC <br />Monitoring System Certification - Page 3 of 3 <br />PAGE 04 <br />Site Address: 2575 Country Club Blvd. @ Plymouth Date of Testing/Servicing: 03/19/02 <br />F. In - Tank Gauging / SYR Equipment: 0 Check this box if tank gauging is used only for inventory control. <br />❑ Check aii�i buy, if Ao 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 I l7 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ Yes l7 No* Were all tank gauging probes visually inspected, for damage and residue buildup'? <br />fl Yes ❑ No* Was accuracy of system product level rcadings tested? <br />0 Yes ❑ No* Was accuracy of system water level readings tested`? <br />❑ Yes ❑ No* Were all probes reinstalled. properly'? <br />❑ Yes 1 ❑ 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 curructcd, <br />G. Line Leak Detectors (LLD): 0 Check this box if LLD's are not installed. <br />Cmmnlete the f'ollowinir checklist: <br />® Yes <br />O No* <br />For equipment start-up or annual equiprncnl celtiCeation was a leak simulated to verify LLD performance? <br />❑ N/A <br />(Check all that apply) Simulated leak reate: Im 3 g.p.b. (l.); ❑ 4.1 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 <br />❑ No* <br />Were all LLD's confirmed operational and accurate within regulatoa requirements? <br />-M Yes <br />❑ No* <br />Was the testing apparatus proeerly calibrated? <br />❑ Yes <br />a No* <br />For mechanical LLD's, does the LLD restrict product flow if it detects a leak? <br />M N/A <br />® Yes <br />❑ No* <br />For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? <br />❑ N/A <br />For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />N Yes <br />❑ No* <br />❑ N/A <br />or disconnected? <br />a Yes <br />0 Nut <br />Foi electronic LLD's, docs the turbine automatically shut off if any portion of the monitoring system <br />❑ N/A <br />malfunctions or fails a test? <br />® Yes <br />❑ No* <br />For electronic LLD's, have all accessible wiring connections been visually inspected'? <br />❑ N/A <br />lg Yes <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In Section H below, describe how and when these detieienetes were or wiu ne correcieu. <br />H- Comments: <br />
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