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COMPLIANCE INFO_2001-2009
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2001-2009
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Last modified
12/28/2023 11:29:54 AM
Creation date
6/3/2020 9:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2009
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2001-2009.tif
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EHD - Public
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Jun 17 05 06:26p Mi a Dotten <br />Facility Name: Mossdale <br />A Results of Testing/Servicing <br />Software Version Installed: Forgot to look. <br />Comnlete the followino eheeklists <br />(209) 533-2650 p.2 <br />(Page 2) <br />® Yes <br />❑ No* <br />is the audible alarm operational? <br />® Yes <br />❑ No* <br />Is the visual alarm operational? <br />® Yes <br />❑ No* <br />Is the print function operational? Not installed. <br />® Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed o erational? <br />® Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their pner operation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />C9 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 leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (Check all that apply) ® Sump/Trench Sensors; ® Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ® Yes; ❑ No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. -no <br />® N/A <br />mechanical overfill prevention valve is installed), is the overfill warding alarm visible and audible at the tank <br />fill oint s and operating ro erl . If so, at what percent of tank capacity does the alarm tri er? <br />❑ Yes* <br />® No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br />replaced and list the manufacturer name and model, for all re lacement parts in Section E, below. <br />❑ Yes* <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; ❑ Water. If yes, describe causes in Section E. below. <br />® Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper. settings? Attach set up reports, if applicable <br />® Yes <br />❑ No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />- in section x below, describe bow and when these deficiencies were or will be corrected. <br />E. Comments: Each fill -spill bucket was tested with water for thirty minutes and were all found to be tight. At the end of <br />the test the water was emptied into a hazardous waste barrel. <br />
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