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COMPLIANCE INFO_2012-2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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13975
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2300 - Underground Storage Tank Program
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PR0231622
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COMPLIANCE INFO_2012-2018
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Last modified
11/20/2024 9:21:33 AM
Creation date
6/23/2020 6:37:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2018
RECORD_ID
PR0231622
PE
2351
FACILITY_ID
FA0000055
FACILITY_NAME
TESORO (SPEEDWAY) 68150 (WRR 6133)
STREET_NUMBER
13975
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01908014
CURRENT_STATUS
01
SITE_LOCATION
13975 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231622_13975 E HWY 88_2012-2018.tif
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EHD - Public
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Monitoring System Certification Form: Addendum for Vacuum/Pressure Interstitial Sen rs LG 163-1,Enc.II <br /> or g y <br /> I. Results of Vacuum/Pressure Monitoring Equipment Testing <br /> This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of <br /> this form must be included with the Monitoring System Certification Form, which must be provided to the tank <br /> system owner/operator. The owner/operator must submit a copy of the Monitoring System Certification Form to the <br /> local agency regulating UST systems within 30 days of test date. <br /> Manufacturer: Veeder Root Model: 330020-463 System Type: ❑Pressure; ® Vacuum <br /> iiri;iiii <br /> Sensor ID /; / /U <br /> Component(s)Monitored by this Sensor: Regular Vac Product <br /> S-2 <br /> Sensor Functionality Test Result: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass; Fail <br /> Component(s)Monitored by this Sensor: Regular STP Vac Vapor <br /> S-3 <br /> Sensor Functionality Test Result: ® Pass; ❑ Fail Interstitial Communication Test Result: ®Pass; E] Fail <br /> Component(s)Monitored by this Sensor: Regular STP Vac Vent <br /> S-4 Sensor Functionality Test Result: X❑Pass; ❑ Fail Interstitial Communication Test Result: ® Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: Premium Vac Product <br /> S-7 Sensor Functionality Test Result: ® Pass; ❑ Fail Interstitial Communication Test Result: ®Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: premium Vac Vent <br /> S-8 <br /> Sensor Functionality Test Result: ®Pass; El Fail Interstitial Communication Test Result: KI Pass; El Fail <br /> Component(s) Monitored by this Sensor: Diesel Vac Product <br /> S-11 Sensor Functionality Test Result: ®Pass; ❑ Fail Interstitial Communication Test Result: ® Pass; ❑ Fail <br /> Component(s) Monitored by this Sensor: Diesel Vac Vent <br /> S-12 <br /> Sensor Functionality Test Result: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass; ❑ Fail. <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑Pass; ❑ Fail Interstitial Communication Test Result: ❑Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑Pass; ❑ Fail Interstitial Communication Test Result: ❑Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Result: ❑ Pass; ❑ Fail <br /> How was interstitial communication verified? <br /> Q Leak Introduced at Far End of Interstitial Space;' ❑ Gauge; ❑ Visual Inspection; ❑ Other(Describe in Sec. J, below) <br /> Vacuum was restored to operating levels in all interstitial spaces: ® Yes ❑ No (If no, describe in Sec.J, below) <br /> J. Comments: Completed 8-28-2018 <br /> /�- rte- �/� Page 1 of 1 <br /> /1^..GtL- G/Phi <br /> i If the sensor successfully detects a simulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the <br /> sensor,vacuum/pressure has been demonstrated to be communicating throughout the interstice. <br />
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