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COMPLIANCE INFO_1995-2002
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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14971
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2300 - Underground Storage Tank Program
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PR0231911
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COMPLIANCE INFO_1995-2002
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Last modified
11/20/2024 9:21:33 AM
Creation date
6/23/2020 6:53:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2002
RECORD_ID
PR0231911
PE
2361
FACILITY_ID
FA0000540
FACILITY_NAME
COUNTRYSIDE LIQUORS & GAS
STREET_NUMBER
14971
Direction
N
STREET_NAME
STATE ROUTE 88
City
LODI
Zip
95240
APN
06316025
CURRENT_STATUS
01
SITE_LOCATION
14971 N HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231911_14971 N HWY 88_1995-2002.tif
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EHD - Public
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t <br />F. In -Tank Gauging / SIR Equipa: t: <br />Check this box if tank go g 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 />Com fete the folio ;inchecklist: <br />Has input wiring been inspected for proper entry and termination, including testing for ground faults? <br />the following <br />Cl <br />❑ <br />No* <br />No* <br />all <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />FREE31 <br />❑ <br />No* <br />Was accuracy of system product level readings tested? <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Was the testing apparatus properly calibrated? <br />No* <br />Was accuracy of system water level readings tested? <br />L� —Ye s <br />❑ <br />No* <br />Were all probes reinstalled properly? <br />C� Yes <br />❑ <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />❑ Yes <br />49 N/A <br />❑ No* <br />For electronic LLDs, does the turbine automa tically shut off if any portion of the monitoring system is disabled <br />.� a,.a,.:—Aar .vrrP nr will be corrected. <br />* In the Section n, aeiow, oescnvC u— 4..0 .._•-.. - - <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />Complete <br />the following <br />checklist: <br />or annual equipment certification, was a leak simulated to verify LLD perfornnance? <br />J9 Yes <br />C3 No* <br />❑ NIA <br />For equipment start-up <br />(Check all that apply) Simulated leak rate: IR 3 g.p.h.; Cl 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Was the testing apparatus properly calibrated? <br />Yes <br />❑ No* <br />11 Yes <br />❑ No* <br />Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />❑ N/A <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />49 N/A <br />❑ No* <br />For electronic LLDs, does the turbine automa tically shut off if any portion of the monitoring system is disabled <br />N/A <br />or disconnected? <br />LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />❑ Yes <br />❑ No* <br />For electronic <br />51 N/A <br />or fails a test? <br />For LLDs, have all accessible wiring connections been visually inspected? <br />O Yes <br />❑ No* <br />electronic <br />IN N/A <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Yes <br />❑ No* <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />03/01 <br />Page 3 of 3 <br />
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