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COMPLIANCE INFO_2008-2016
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2300 - Underground Storage Tank Program
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PR0231989
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COMPLIANCE INFO_2008-2016
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Last modified
10/26/2022 8:46:42 AM
Creation date
6/23/2020 6:54:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2016
RECORD_ID
PR0231989
PE
2361
FACILITY_ID
FA0003976
FACILITY_NAME
VALLEY PACIFIC CHARTER WAY CARDLOCK
STREET_NUMBER
1501
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16337016
CURRENT_STATUS
01
SITE_LOCATION
1501 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231989_1501 W CHARTER_2008-2016.tif
Tags
EHD - Public
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06/26/2008 19:34 FAX 209 533 2650 ALLTECH PETRO INC <br />AlItech Petro . <br />17759 Buttercup Circle, Sonora, CA 95370 <br />Phone: 209-532-7320; Fax: 209-533-2650 <br />California Contractor 623541 A-Haz <br />Mike@AlltechPetro.com <br />LIA SAN JOAQUIN <br />i <br />ONITO G S TEM CERTIFICATION Qv:-Cj <br />A. General Information <br />Facility Flame: Valley Pacific Petroleum Date of Testing/Servicing: June 26, 2008 <br />Facility Address: 1501 Charter Way, Stockton CA <br />Facility Contact Person: Mike Eliason Contact Phone No.: 948-9412 U t4 COuNN <br />Regulatory agency: San Joaquin Health; Inspector: Ray Von Flue ; Phone: 46x3-9848; Fax 30AQN <br />Make/Model of Monitoring System: Incon TS -1000 (no printer) ENV EP <br />This tat report Is a: 0 Final Report (FaciNty was observed to be in Compliance) or it CI Preliminary Repo n esolved issues Exist) <br />B. Inventory of Equipment Tested/Certified: <br />Tank ID; Regular <br />Tank ID: Dine[ Tank <br />® In -Tank Gauging Probe, Model: <br />In -Tank Gauging Prof_ <br />Modol: <br />0 Annular Space or Vault Sensor. Model: <br />Annular Space or Vault Sensor. <br />Model: <br />® Piping Sump Sensor(s). Model: <br />® Piping Sump Sensor(s). <br />Mod$1_• <br />❑ Fill Sump Scnsor(s). Model: <br />❑ Fill Sump Sensor(s). <br />ModVl: <br />Mechanical Line Leak Detector. Model: <br />0 Mechanical Line Leak Detector, <br />Model: <br />Q Electronic Linc Leak Detector. Model: <br />® Electronic Line Leak Detector. <br />Model: <br />Tank Overfill / High -Level Sensor. Model: <br />N Tank Overfiil / High -Levet Sensor. <br />Model: <br />Fill ill buckets tested ❑Pass ❑Fail <br />❑ Fillspill buckets tested QPass <br />1'ail <br />Tank ID: Premium 'Tank <br />Tank ED: <br />In -Tank Gauging Probe. Model: <br />® In -Tank Gauging Probe. <br />Model: <br />® Annular Space or Vault Sensor. Model: <br />[] Annular Space or Vault Sensor. <br />Model: <br />Piping Sump Sensor(s)_ Model: <br />❑ Piping Sump Sensor(s). <br />Modgl: <br />❑Fill Sump Sensor(s). Model: <br />E3 Fill Sump Sensor(s). <br />Model: <br />® Mechanical Linc Leak Detector. Model: <br />❑ Mechanical Line Leak Detector. <br />Model: <br />❑ Electronic Line Leak Detector. Model: <br />❑ Electronic Line Leak Detector. <br />Model: <br />® Tank Overfill / High -Level Sensor. Model: <br />❑ Tank Overfill/ I{igh-Level Sensor. <br />Model: <br />❑ Fills ill buckets tested ❑Pass ®Fail WWI I I <br />III MIN 0 Fill ill buckets tested QPass ❑ A <br />Dispenser ID: 1&2 ® Sump: MDry ❑Water ❑Product <br />(Dispenser IID: 3&4 ❑ Sump: ❑Dry ❑Wabcr ❑Product <br />0 Dispenser Containment Sensor(s). Model; <br />❑ Dispenser Containment Sensor(s). <br />Model: <br />® Shear Valve(s) (Functional test) <br />❑ Shear Valve(s) (Functional test) <br />® DisgMser Containment Flo!!W and Chains . <br />0 Dispenser Containment Float(sj and Chains. <br />Dispenser ID: 5&6 ❑ Sump: ❑Dry ❑ Wator ®Product <br />Dispenser 10; 7&8 ❑ Sump: ❑Dry ❑Wafer ❑Product <br />❑ Dispenser Containment Scnsor(s). Model: <br />❑ Dispenser Containment sensor(s). <br />Mod4l: <br />❑ Shear Valve(s) (Functional test) <br />Shear Valve(s) (Functional test) <br />Q Disgewr Containmctst Floes s and Chains . <br />Cj DisEEnser Containment Floats and Chain(s). <br />Dispenser TD: 9&10 ❑ Sump: ❑Dry ❑Water ❑Product <br />Dispenser ID: 11&12 ❑ Sump: ®Dry ❑Water OProduct <br />❑ Dispenser Containment Sensor(s). Model: <br />10 <br />❑ Dispenser Containment Sensor(s). <br />Mool: <br />Q Shear Valve(s) (Functional test) <br />❑ Shear Valve(s) (Functional test) <br />Ais nsa Containment Float(s) and Chains . <br />❑Dis r Containment FIo sand Chaiei s . <br />C. Certification - I certify that the equipment Identified in this document was Inspected/serviced I is accordance with the <br />manufacturers' guidelines. Attached to this Certification is Information (e.g. manufacturers' checklists) necessary to verify that this <br />information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capadW of generating such <br />reports, I have also attached a copy of the report; (check all that apply): ® System set-up ❑ Alarm* history report <br />Technician: Mike Dotten, California Contractor License. No.:i623541 <br />Certification; Voeder-Root:A23046; Level 4. Expires. 9/19/09 <br />ICC US's` Technician # 5259412 -UT. Expires: 5/21/09 <br />Page 1 of 3 03101 <br />
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