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COMPLIANCE INFO_2020
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0507837
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COMPLIANCE INFO_2020
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Last modified
3/3/2021 11:17:32 AM
Creation date
7/16/2020 10:31:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0507837
PE
2361
FACILITY_ID
FA0008057
FACILITY_NAME
TRACY TRUCK AND AUTO STOP
STREET_NUMBER
3940
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
APN
21220004
CURRENT_STATUS
01
SITE_LOCATION
3940 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
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. <br />Y <br />N <br />NA <br />Are the visual and audible alarms operational? <br />Q <br />❑ <br />❑ <br />Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, <br />tested, and confirmed operational? <br />19 <br />1:1 <br />1:1functional) <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br />proper operation? <br />1:1 <br />1:1their <br />Was monitoring system set-up reviewed to ensure proper settings? <br />0 <br />❑ <br />❑ <br />Was the monitoring panel's backup battery visually inspected, functionally tested, and confirmed operational? <br />Q <br />❑ <br />❑ <br />Does the flow of fuel stop at the dispenser if a leak is detected in the under -dispenser containment? <br />X <br />❑ <br />❑ <br />Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically <br />El <br />Eldisconnected? <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 Sum ❑ Under -Dispenser Containment <br />0 <br />El <br />1:1p <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? <br />❑ <br />❑ <br />X <br />For any answer of "M' above, describe in Section IX how and when these deficiencies were or will be corrected. <br />IX. COMMENTS <br />ALL FLOATS AND CHAINS UNDER DISPENSERS <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.) <br />❑ Check this box if NO tank gauging equipment is installed. (Do not complete this section.) <br />This section must be completed if in -tank gauging is used to perform leak detection monitoring. <br />Y <br />N <br />NA <br />Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination, including testing for <br />faults? <br />1:1 <br />1:1 <br />1:1round <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 />1:1❑ <br />❑ <br />Was accuracy of system's product level readings tested? <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's water level readings tested? <br />❑ <br />❑ <br />❑ <br />Were all probes reinstalled properly? <br />❑ <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />❑ <br />❑ <br />❑ <br />For any answer of "M' 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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