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COMPLIANCE INFO_2005
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231952
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COMPLIANCE INFO_2005
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Last modified
9/19/2022 4:22:49 PM
Creation date
6/23/2020 6:38:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005
RECORD_ID
PR0231952
PE
2351
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
01
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231952_2905 W BENJAMIN HOLT_2005.tif
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EHD - Public
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12/09/2005 13:21 7075770586 STROUPE PETROLEJ PAGE 03/10 <br /> Monitoring Systerzf,Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> complete the follo ng checklist: <br /> rUYes <br /> ❑ No*. Is the audible alarm operational? <br /> 0 No* Is the visual alarm operational? <br /> ❑ No* Were all sensors visuallyinspected,functionati tested,and confirmed o erational? <br /> No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment willnot interfere with thein ro er o erasion? <br /> ❑ No* If alarms are relayed to a remote monitoring station, is all conuhunications equipment (e.g. modem) <br /> ❑ N/A operational? <br /> ® No* For pressurized piping systems, does the turbine automatically shut down if the piping secondaxy containment <br /> ❑ N/A monitoring system detects a leak, fails to operate,or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) ❑Sump/Trench Sensors; Q Dispenser Containment Sensors. <br /> Did ou confirm positive shut-down due to leaks and sensor failure/disconnection? L3 Yes; ❑No. <br /> ❑ Yes 13No's` For tank systemw that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fillpoint(s)and o eratin ro erl ? If so,at what 2ercent of tank ca aci does the alarm trigger? % <br /> ❑ Yes* 0 No Was way monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all re lacement Earts in Section E,'below., r <br /> 4 Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0 <br /> product; ❑Water. If yes,describe causes in Section E,below. 4 <br /> ❑ Yes O No* Was monitoring system set-u reviewed to ensure pro er settin s?,Anacb setup reports,if 4p2licable <br /> ❑� Yes 0 No* Is all monitoAng equipmento erational per manufacturer's specifications? <br /> *In Section E below,describe how and when,these deficiencies were or will be corrected. <br /> tComments; A nnw r S n=r% 1v. S '11t caw S <br /> UN•036.V4 Forge 2 of 3 Rev.06/04/01 <br /> www.uniducs.arg <br />
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