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COMPLIANCE INFO_2013-2018
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PR0231614
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COMPLIANCE INFO_2013-2018
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Last modified
5/19/2021 1:54:59 PM
Creation date
6/3/2020 9:50:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231614
PE
2361
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231614_500 W HOSPITAL_2013-2018.tif
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EHD - Public
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F. In Tank Gauging I SIR Equipment: 0 0 Check this box if tank gaugiolsed only for inventory control. <br />0 Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed If in -tank gauging equipment is used to perform Ink detection monitoring. 01-N <br />Complete the following checklist: REL <br />• Yes <br />❑ No- <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />• yes <br />❑ No* <br />Were all tank gauging probes visually irapected for damage and residue buildup? SEP 0 371 <br />• yes <br />❑ Ne <br />Was accuracy of system product level readings tested? ff2rft0%1k an Aff—A I <br />[I yes <br />0 Ne <br />Was accuracy of system water level readings tested? MIMMUNMU <br />0 yes <br />13 No* <br />Were all probes reinstalled properly? Him" I I 1- 1 11--was-4 fit, <br />[3 yes <br />[I Ne <br />Were all item on the equipment manufacturer's maintenance checklist completed? <br />In Section H. below, describe how and when thess deficiencies were or will be corrected. <br />Line Leak Detectors (LLD): <br />Check this box it LLDs are not installed. <br />th. A%IhxudM <br />0 Yes <br />0 Ne <br />For equipment start-up or annual equipment certification, was a leak simulated to verily LLD performance? (Check all that apply) <br />0 WA <br />Simulated leak rate: 0 3 g.p.K; 0 0.1 g.p.h; [] 0.2 g.p.h. <br />n yes <br />0 Ne <br />Were all LLDs cc ad operational and accurate within regulatory requirements? <br />0 Yes <br />0 No* <br />Was the testing apparatus properly calibrated? <br />D Yes <br />[] No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />10 N/A <br />0 yes <br />n No* <br />For electronic LLDs, does the turbine automatically shut off it the LLD detects a leak? <br />0 N/A <br />0 yes <br />0 No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />0 N/A <br />0 Yes <br />0 Ne <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitorings malfunctions or fails a test? <br />[I N/A <br />0 Yes <br />0 No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />[I NIA <br />0 Yes <br />[3 No* <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />u <br />K_ -A vain ho nnrmetad. <br />H. comments: LINE TEST DONE <br />Monitoring System Cer#ftaftn Page 3 of 4 2/21/07 <br />r• <br />
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