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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 PETROL_ PAGE 04/10 <br /> Monitoring System Certification <br /> F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Goxn tete the followIng checklist; <br /> V ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ No* Was accuracy of system product level reeadings tested? <br /> ® No* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> Q Yes ❑ No* IWere all itemson the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these defleiencles were or will be corrected. <br /> G. bine Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com lets the follo ina checklist.- <br /> 13 <br /> hecklist:❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check all that apply) Simulated teak rate: Q 3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> C7 Yes U. No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes ® No* Was the testing apparatus properly calibrated? <br /> Cl Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ NIA or disconnected? <br /> Q Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> O NIA or fails a test? <br /> ® Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> O Yes to No* Were all item&on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe bow and when these deficiencies were or will be corrected.. <br /> H. Comments: <br /> UN-036.3/4 Page 3 of 3 Rev.MUM <br /> www.unidoes.org <br />
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