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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
Tags
EHD - Public
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UST Pro-rarn: lMonitoring Pia*UST Tank ...: CERS Business Page 2 of 2 <br /> No Dispensers <br /> UDC Leak Alann Triggers Automatic Pump Shutdown <br /> UDC Panel Manufacturer <br /> FailurelDisconnect ion of UDC Monitoring System Triggers Automatic Purrip,Shutdown <br /> UDC Panel Model# <br /> DOC Monitoring Stops.Flow of Product at Dispenser <br /> UDC Leak Sensor Manufacturer <br /> UDC Construction <br /> UDC Leak Sensor Model <br /> UDC Secondary Containment Monitoring <br /> Leak Within Secondary Containment of UDC Causes Audible and Visual Alarms <br /> -Pop iodic Sys torn ------- <br /> No ELD Testing or <br /> Yes Secondary Containment Testing kf <br /> Yes Spill Bucket Testing <br /> ........... ............................ <br /> Rocordkeoping <br /> Yes Alarm Logs o <br /> Yes Visual Inspection Records*i <br /> No Tank Integrity Testing Results t, <br /> No SIR Testing Results <br /> NO Tank Gauging Results <br /> NO ATG Testing Results ko <br /> No Corrosion Protection Logs o <br /> Yes Equipment Maintenance and Calibration Records io <br /> Training ------------- <br /> Yes Personnel with UST Monitoring Responsibilities are Familiar with Training Documents <br /> Specify Other Training Documents w <br /> Yes Designated Operator Training" <br /> .....------------------------- <br /> r0omrnent5 i Additional Inforniatioll-- <br /> i Comments and Additional Information <br /> Name of First Person Having Responsibility Name of Second Person Having Responsibility <br /> DARRYL GARDNER David Catanzanto <br /> Title of First Person Having Responsibility Title of Second Person Having Responsibility <br /> CHIEF ENGINEER Assistant Chief Engineer <br /> Applicant Coifification -------- <br /> Applicant Name Applicant Title Signature Representation <br /> DARRYL GARDNER CHIEF ENGINEER Authorized Representative of Owner <br /> V;- 1-1, <br /> CPW� D"i <br /> ------------ ------- <br /> FIrn <br /> rod B <br /> -MmUtghlixrAA'imta'c <br /> -- - -m <br /> F^7 <br /> littps://cersbLisiiiess.calepa.ca.gox,/49579/Facilitv/1 0 1 80977/Submittal/USTA 776346/Muni... 7/22/2016 <br />
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