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COMPLIANCE INFO_2014-2018
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2300 - Underground Storage Tank Program
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PR0232494
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COMPLIANCE INFO_2014-2018
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Last modified
10/23/2023 1:27:31 PM
Creation date
6/3/2020 9:57:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2018
RECORD_ID
PR0232494
PE
2361
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232494_7373 WEST_2014-2018.tif
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EHD - Public
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E '_ <br /> D. Results of Testing/Servicing i u 1, 13 2017 <br /> Software Version Installed: 133.06 <br /> Com lete he following checklist: EN"I" �. �`� '`' `� '��`" HEALTH <br /> W[Yes F]No' Is the audible alarm operational? <br /> wYes F-i No* Is the visual alarm operational? <br /> J es No* Were all sensors Visually inspected,functionally tested,and confirmed_operational? <br /> as f-1 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> Properoperation? <br /> es No' If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> NIA <br /> E]Yes ®No' For pressurized piping systems,does the turbine automatically shut down V the piping secondary containment monitoring system <br /> NIA meds a leak,fails to operat is electrically disconnected? If yes:which sensors Initiate positive shut-down? (Check ak that apply) <br /> L-Sump/Trench Sens ispenser Containment Sensors. Did you confirm positive shut-down due to leaks � sensor <br /> failure/disconnection? Fs es• K <br /> WjYes 8 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention <br /> WA valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly1i if so,at what percent <br /> of tank capacity does the alarm trigger? 90 % <br /> es` LVJ No Was any monitoring equipment replaced? If yes, ida" specific sensors, probes, or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E below. <br /> es' h6 No Was liquid found inside any secondary containment systems designed as dry systems? (Check aN that apply) roduct; ater. If <br /> es describe causes in Section E,below. <br /> es No' Was monitoring system set-up reviewed to ensure proper settings?Attach set up.reports;if applicable <br /> as No' is all monitoring equipment operations per manufacturers speoi ications? <br /> *In Section E below,describe how and when these deficiencies es were or will be corrected <br /> E. Comments: <br /> Monitor Panel Battery Check:3.70 Volts. <br /> Monitor Panel Battery Replaced:[ J Yes[X]No <br /> i <br /> t <br /> t <br /> i <br /> i! <br /> I <br /> Monitoring System Certification Page 2 of 4 12/07 <br />
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