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COMPLIANCE INFO_2020
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2300 - Underground Storage Tank Program
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PR0517272
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COMPLIANCE INFO_2020
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Last modified
12/28/2020 10:52:09 AM
Creation date
7/10/2020 2:19:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0517272
PE
2361
FACILITY_ID
FA0012979
FACILITY_NAME
FLYING J TRAVEL PLAZA #617
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
02519014
CURRENT_STATUS
01
SITE_LOCATION
15237 N Thornton Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page a of s) <br /> VIII. MONITORING SYSTEM AND PROGRAMMING <br /> This section must be completed if a monitoring panel is used to perform leak detection monitoring. Y N NA <br /> Are the visual and audible alarms operational? ❑X ❑ ❑ <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, El El <br /> tested,and confirmed operational? <br /> 19 Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with 19 El ❑ <br /> their proper operation? <br /> Was monitoring system set-up reviewed to ensure proper settings? ❑ ❑ <br /> Was the monitoring panel's backup battery visually inspected,functionally tested,and confirmed operational? ❑ ❑ <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? Q ❑ ❑ <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically ❑ ❑ <br /> disconnected? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? <br /> Which sensors initiate positive shut down? (Check all that apply.) ❑X Sump ❑X Under-Dispenser Containment © ❑ <br /> If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.,modem)operational? ❑ ❑ <br /> For any answer of"N"above, describe in Section IX how and when these deficiencies were or will be corrected. <br /> IX. COMMENTS <br /> X. IN-TANK GAUGING TESTING <br /> ❑X Check this box if tank gauging is used only for inventory control. (Do not complete this section j <br /> ❑Check this box if NO tank gauging equipment is installed. (Do not complete this section.) Y N NA <br /> This section must be completed if in-tank gauging is used to perform leak detection monitoring. <br /> Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination, including testing for El El El <br /> faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally ❑ ❑ ❑ <br /> tested,and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑ <br /> For any answer of"N"above, describe in Section XI how and when these deficiencies were or will be corrected. <br /> XI. COMMENTS <br /> Y=Yes,N=No,NA=Not Applicable <br />
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