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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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PR0536555
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COMPLIANCE INFO_2020
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Last modified
3/3/2021 12:02:36 PM
Creation date
7/20/2020 9:54:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0536555
PE
2351
FACILITY_ID
FA0020989
FACILITY_NAME
Arco. Am pm 83333
STREET_NUMBER
550
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
Rd
City
Tracy
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
550 W Valpico Rd
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 <br /> 8. IN TANK GAUGING TESTING <br /> XCheck this box if tank gauging is used only for inventory control . <br /> ❑ Check this box if NO tank gauging equipment is installed . rED <br /> No NA- <br /> Do not complete this section if either box is checked. <br /> All wiring has been : 1 ) visually inspected for kinks, breaks and proper entry and termination ; ❑ ❑ <br /> and 2 tested for ground faults ? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ❑ ❑ <br /> ensure that floats t ove freely, functionally tested , and confirmed operational? <br /> Was accuracy of system 's product level readings %stdd ? ❑ ❑ ❑ <br /> Was accuracy of §ystem 's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed ? ❑ ❑ ❑ <br /> Probe /D Probe Model Tanks Monitored Pass Fail <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 9. COMMENTS <br /> Describe all answers marked "No " or "Fail" and proposed remedy. ry <br /> List all monitoring equipment either replaced or repaired. <br /> 10. MONITORING SITE PLAN <br /> Page 5 of 6 <br />
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