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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232495
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
3/8/2021 9:54:31 AM
Creation date
6/23/2020 1:57:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0232495
PE
2361
FACILITY_ID
FA0003854
FACILITY_NAME
YRC INC
STREET_NUMBER
1535
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
Ave
City
Tracy
Zip
95304
APN
21306046
CURRENT_STATUS
01
SITE_LOCATION
1535 E Pescadero Ave
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 2 of 6) <br /> VI. INVENTORY OF EQUIPMENT CERTIFIED <br /> A separate Monitoring System Certification Form must be prepared for each monitoring system control panel. <br /> Make of Monitoring System Control PanelModel of Monitoring System Control Panel Software Version Installed <br /> Veeder-Root TLS-300 12.02 <br /> Check the appropriate boxes to indicate specific equipment inspected/serviced. <br /> Monitoring Device Used Device Model# Monitoring Device Used Device Model# <br /> TANK ID: T-1 10,000 Gallon Soap TANK ID: <br /> 8 tank number,storedproduct,etc. 8 tank number storedproduct,etc. <br /> ❑In-Tank Gauging(SW Tank) ❑In-Tank Gauging(SW Tank) <br /> ❑x Annular Space or Vault Sensor 794390-409 ❑Annular Space or Vault Sensor <br /> ❑VPH Sensor ❑VPH Sensor <br /> Product Piping Product Piping <br /> ❑Mechanical LLD ❑Mechanical LLD <br /> ❑Electronic LLD ❑Electronic LLD <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> D Sump Sensor 794380-205 ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Fill Piping Fill Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Vent Piping Vent Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Vapor Recovery Piping Vapor Recovery Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Monitoring Device Used Device Model# IF Monitoring Device Used Device Model# <br /> TANK ID: TANK ID: <br /> (By tank number,stored product,e (By tank number,stored product,etc. <br /> ❑In-Tank Gauging(SW Tank) ❑In-Tank Gauging(SW Tank) <br /> ❑Annular Space or Vault Sensor ❑Annular Space or Vault Sensor <br /> ❑VPH Sensor ❑VPH Sensor <br /> Product Piping Product Piping <br /> ❑Mechanical LLD ❑Mechanical LLD <br /> ❑Electronic LLD ❑Electronic LLD <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Fill Piping Fill Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Vent Piping Vent Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Vapor Recovery Piping Vapor Recovery Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> ID=Identification,SW=Single-Walled,VPH=VacuunVPressurekiydrostatic,LLD=Line Leak Detector <br /> UN-107 www.unidocs.org 2/6-Rev. 10101/18 <br />
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