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COMPLIANCE INFO_1986-2005
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231736
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COMPLIANCE INFO_1986-2005
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Last modified
2/15/2024 1:16:35 PM
Creation date
6/23/2020 6:50:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2005
RECORD_ID
PR0231736
PE
2361
FACILITY_ID
FA0002562
FACILITY_NAME
Sutter Valley Hospitals dba Sutter Tracy Community Hospital
STREET_NUMBER
1420
Direction
N
STREET_NAME
TRACY
STREET_TYPE
Blvd
City
Tracy
Zip
95376
APN
233-081-01
CURRENT_STATUS
01
SITE_LOCATION
1420 N Tracy Blvd
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231736_1420 N TRACY_1986-2005.tif
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EHD - Public
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D. Results of Testing/Servicing <br />Software Version Installed: <br />Complete the following checklist: <br />Yes <br />❑ No* <br />Is the audible alarm operational? <br />es <br />❑ No* <br />Is the visual alarm operational? <br />Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />l� des <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment w <br />not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modei <br />p .�1/A <br />operational? <br />❑ Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containme <br />Cl- N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initia <br />positive shut -down? (Check all that apply) ❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes; ❑ No. <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. r <br />❑ Yes <br />❑ No* <br />❑` N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tar <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? ' <br />❑ Yes* <br />Ll No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replace <br />and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑'Yes* <br />❑ No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appy <br />Ll Product; ater. If yes, describe causes in Section E, below. <br />Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />es <br />❑ No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe now ana when urese uei,c,ca,c.cZ1 nc. C Ux ..— <br />E. Comments: <br />�* e f �7 <br />' <br />e r� �' 'i %� <br />1� <br />4" tt %i c�✓� <br />ka <br />
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