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COMPLIANCE INFO_2020
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0527629
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/22/2020 10:05:05 AM
Creation date
7/20/2020 10:41:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0527629
PE
2351
FACILITY_ID
FA0018721
FACILITY_NAME
Costco Wholesale #1031
STREET_NUMBER
2440
STREET_NAME
DANIELS
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
2440 DANIELS ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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Facility Name: Costco # 1 091 Lodi ( Page 4) <br /> ` . Results of Vacuum/Pressure Monitoring Equipment Testing <br /> Manufacturer: Veeder-Roofi Model : 332117-OOi System Type: ❑ Pressure ® Vacuum <br /> Sensor s <br /> ID <br /> S9 Component(s) Monitored by this Sensor: 87a Product Line <br /> Sensor Functionalily Test Results : ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass : ❑ Fail <br /> s10 Component(s) Monitored by this Sensor. 87a Vapor Line <br /> Sensor Functionality Test Results : ® Pass; ❑ Fail Interstitial Communication Test Result: [0 Pass : ❑ Fail <br /> s11 Component(s) Monitored by this Sensor: 87a Vent Line <br /> Sensor Functionality Test Results . ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass : ❑ Fail <br /> s12 Component(s) Monitored by this Sensor: 87b Product Line <br /> Sensor Functionals Test Results : Z Pass; ❑ Fail Interstitial Communication Test Result: ® Pass : ❑ Fail <br /> S13 Component(s) Monitored by this Sensor: 87b Syphon Line <br /> Sensor Functionals Test Results : ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass : ❑ Fall <br /> s14 Component(s) Monitored by this Sensor: 87b Vent Line <br /> Sensor Functionalit Test Results : ® Pass; ❑ Fail: Interstitial Communication Test Result : ® Pass : ❑ Fail <br /> 0 s17 Component(s) Monitored by this Sensor: 91 Product Line <br /> Sensor Functionality Test Results : ® Pass; ❑ Fail Interstitial Communication Test Result : ® Pass : ❑ Fall <br /> S18 Component(s) Monitored by this Sensor: 91 Vent Line <br /> Sensor Functionals Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result : ® Pass : ❑ Fall <br /> S23 Component(s) Monitored by this Sensor: Additive Product Line <br /> Sensor Functionality Test Results : ® . Pass; ❑ Fail Interstitial Communication Test Result : <br /> ® Pass : ❑ Fail <br /> s24 Component(s) Monitored by this Sensor:Additive Vent Line <br /> Sensor Functionality Test Results: ® Passe ❑ Fail Interstitial Communication Test Result : ® Pass : ❑ Fail <br /> How was interstitial communication verified ? <br /> ® Leak Introduced at Far End of Interstitial Space; ❑ Gau e; ❑ Visual Inspection; Other (Describe in J below) <br /> Vacuum was restored to operating levels inall interstitial spaces: ® Yes ❑ No (if no describe in J below <br /> J . Cornments : <br /> f <br />
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