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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0515864
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COMPLIANCE INFO_2020
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Last modified
1/19/2021 10:22:56 AM
Creation date
7/16/2020 1:03:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0515864
PE
2361
FACILITY_ID
FA0012355
FACILITY_NAME
A&A GAS FOOD MART
STREET_NUMBER
1330
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120053
CURRENT_STATUS
01
SITE_LOCATION
1330 E YOSEMITE AVE
P_LOCATION
04
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 <br />16. SENSOR TESTING RESULTS <br />List only sensors tested on date of this certification. List "Sensor ID" as labeled in system <br />programming. Additional copies of this page may be attached to accommodate all sensors tested. <br />Sensor lD <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />❑ <br />❑ <br />L2 <br />323 <br />3-4 <br />El <br />❑ <br />L3 <br />323 <br />5-6 <br />0 <br />❑ <br />L4 <br />208 <br />7-8 <br />0 <br />❑ <br />L5 <br />208 <br />9-10 <br />0 <br />❑ <br />L6 <br />323 <br />11-12 <br />0 <br />❑ <br />L7 <br />323 <br />1-2 <br />0 <br />❑ <br />❑ <br />❑ <br />L9 <br />352 <br />91 STP <br />0 <br />❑ <br />L10 <br />409 <br />91 ANNULAR <br />0 <br />❑ <br />L11 <br />208 <br />91 FILL <br />0 <br />❑ <br />L12 <br />352 <br />87 STP <br />0 <br />❑ <br />L13 <br />409 <br />87 ANNULAR <br />El <br />❑ <br />❑ <br />❑ <br />L15 <br />352 <br />DSL STP <br />0 <br />❑I <br />L16 <br />208 <br />DSL FILL <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Describe all answers marked "No" or "Fail' and proposed remedy in Section 9. <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Page 3 of 6 <br />
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