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COMPLIANCE INFO_2017-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2017-2018
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Last modified
11/14/2023 2:06:26 PM
Creation date
6/3/2020 9:56:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2018
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\Y\YOSEMITE\1777\PR0232397\RETROFIT PLAN 2017.PDF
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EHD - Public
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n <br />F. In -Tank Gauging/ SIR Equipment: <br />L <br />❑ Check this box V tank gauging is used only for inventory control. <br />❑ 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 leak detection monitoring. <br />Complete the following checklist - <br />P/1 Yes <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />W Yes <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />e/ Yes <br />❑ No* <br />Was accuracy of system product level readings tested? <br />❑� Yes <br />No* <br />Was accuracy of system water level readings tested? <br />® Yes <br />❑ No* <br />Were all probes reinstalled property? <br />J Yes <br />No* <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD) O Check this box if LLDs are not installed. <br />Cmmntata the fniinwina chaddlst_ <br />----- ---- --- ---- <br />❑ Yes <br />No* <br />N/A <br />-- <br />For equipment start-up or annu quipmenrtification,�s a leak simulated to verify LLD performance? (Check all <br />ts�e <br />that apply) Simulated leak rate: 3 g.p,h.; 0.1 g.p.h ; U0.2 g.p.h. <br />Yes <br />Fj <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />El <br />o <br />WA <br />For mechanical L Ds, does the LLD restrict product f ow If it detects a leak. <br />Yes <br />No* <br />N/A <br />For electronic LLDs, does the turbine automatically shutoff If the LLD detects a eak? <br />❑ Yes <br />No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />disconnected? <br />Yes <br />No* <br />NIA <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />fails a test? <br />Yes <br />No* <br />N/A <br />For electronic LLDs, have all accessible wiring connections been Visually inspected? <br />Yes <br />U <br />No* <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies wers,or will be corrected. <br />H. Comments: <br />Monitoring System CoMfication Page 3 of 4 12!07 <br />
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