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COMPLIANCE INFO_2002-2004
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2002-2004
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Last modified
7/28/2021 1:24:55 PM
Creation date
6/23/2020 6:56:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2004
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2002-2004.tif
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EHD - Public
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JAN-1-2002 04:19P FROM: T 12094683433 P:5/8 <br /> A Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the folio win checklist: <br /> 2 Ycs ® No* Is the audible alarm o atic,jai? <br /> Ycs ❑ No* Is the visual alarm o ratioxl a1'? <br /> IVA Yes ❑ No* Werc all sensors visually in-acted.functional] tested,and confirmed o erational? <br /> D Yes ❑ No* Were all sensors installed s;. lowest point of secondary containment and positioned so that other equipment <br /> will not interfere with their t,:ropcT operation? <br /> ❑ Ycs Q No* If alarms are relayed to s remote monitoring station, is all communications equipment (e.g. modem) <br /> ® N/A operational? <br /> ❑ Ycs 19 No* For pressurized piping syst*as,docs the turbine automatically shut down if the piping secondary containment <br /> O N/A monitoring system detects a ;eak,fails to operate,or is electrically disconnected? ]ryes: which sensors initiate <br /> positive shut-down? ('ChecA all Thal apply) ❑Sump/Trcneh Sensors; LI Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor railure/disconnection? ❑ Yes; ❑No. <br /> u Yes ❑ No* For tank systems that utili;;a the monitoring system as the primary tank overfill warning device ('i.e. no <br /> Its N/A mechanical overfill preventilm valve is installed),is the overfill warning alarm visible and audible at the tank <br /> Fill point(s) and operating; properly? if so, at what percent of tank Capacity does the alarm (rigger? <br /> % <br /> * Yes* 2 No Was any monitoring cqulpnent roplaccd? 11' yes, identify specific sensors, probes, or other equipment. <br /> replaced and list the manufai.turer name and model for all re lacement. arts in Section E,below. <br /> is Yes* ❑ No Was liquid round inside any secondary containment systems designed as dry systems? (Check all,that apply) <br /> ❑ Product, 0 Water. If yoj,describe causes in Section E,below. <br /> aR Yes ❑ No* Was monitoring system sct•:tt reviewed to ensure o settings?Attach set tz reports,if a licable <br /> N Yes E3ui No* Ys all monitorin a men;z;) erational per manufacturer's specifications? <br /> *In Section It below,describe how and when tlhaIfe deficiencies were or will be corrected. <br /> r <br /> E. Comments: '7'-Xnc&,x ®F todnE '-,W&7RC- A-107'V77 i,u S !a. a S' Biu' -� <br /> Page 2 of 3 03to1 <br />
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