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COMPLIANCE INFO_1999-2010
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232224
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COMPLIANCE INFO_1999-2010
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Last modified
4/7/2021 10:42:38 AM
Creation date
6/3/2020 9:56:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999-2010
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_1999-2010.tif
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EHD - Public
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CALAVERAS ENV HEM* PAGE 03 <br /> 11/52/1995 03:27 20975 2 <br /> R loa.torim�Sysaam Certifleatioa <br /> FaeilityNan=: a l�,T.�311 � ua�cof lC;ltLlj�rJii�6�3D�.�Z +[�/�e <br /> F. In-Tank Gauging Equipment: 0 Check this box if tuck gauging is used only for inventory control. <br /> This section trust be completed if in-tank gauging equipment is used io perform leak det�tion monitoring. <br /> Software Version Installcd: C J Gr , <br /> C-614cle the foUawinR check1w: Z.- <br /> Q Ne Has all input vnring been uispected for proper entry and reammation,including testing for ground faults? <br /> Y Q No- Were an tarok gauging probes visually inspected for damage and residue buildup? <br /> Mlym O No' Was accuracy of system product/waste level readiugs tested? <br /> yes Q Ko• Was accuracy of syseem water level readings tested? <br /> s ® NI were aII alarms activated and did they f inerion properly? <br /> Yes ® No" were all item on the equipment manufacturer's tnaimtcanuce checklist completed? <br /> In the Section R,below,describe hoar and when these deficiencies were or will be corrected_ <br /> G. Line Leah Detectors(LLD): 0 Check this box if LLDs arc not insnlled. <br /> Colete the foilo+rf <br /> pyyises Q No• W"a leak simulated to yc ify LLD perfota�ce?(Check all chat apply) <br /> es <br /> Simulaocd leak rate: C3&-p-h.; 0 a-1 g-p-b.; 0 0.2 9-p-h. <br /> O No' otic all LLDs eomf-maned operational and accurate within regulatory requtrennents? <br /> s C1Ado• was the testing apparatus properly calibrated? <br /> D No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> Q NIA <br /> 0 Yes ® o" For electronic LLDs,docs the turbine automatically shut off if the LLD detects a leak? <br /> Wr WA <br /> 0 Yes Q,Xo• For cloctronic LLDs,docs the habine automaticatdy shut off if any potion of the motutoring system is disabled <br /> M WA, or ed? <br /> D yes G JNo' For electronic LLD&, does the turbine autonwdcalty shut off if any portion of the monitoring system <br /> d N/A malfunctions or fails a test? <br /> 0 Yes ❑ o' For electronic LLDs,have all accessible wiring caanectioas been visually utspected' <br /> IA <br /> Xes 13 No- If necessary to proper equipment operation.are fuel filters in good condition? <br /> 0 NIA <br /> ELY e D No* Were aEI itetas on the equipment tttanufacturer's Maustetiancc checklist completed? <br /> • <br /> In the Section t#,below,describe bow and when these defietencies were or will be corrected. <br /> H. Comments: TvT - �G10 15 <br /> GL,D' <br /> CALM-01 Page 3 orrz]r99 <br /> Z 'ul air69-1 gib (602) umoJg a 1 J.ae0 e2-b, =80 40 22 oaa <br />
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