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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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PR0231349
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COMPLIANCE INFO_2020
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Last modified
10/6/2021 4:07:00 PM
Creation date
10/30/2020 4:15:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231349
PE
2351
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
01
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
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 <br /> 6. SENSOR TESTING RESULTS _ <br /> List only sensors tested on date of this certification. List "Sensor 1D"as labeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-303 87 Annular ® Q <br /> L2 794380-303 91/Diesel Annular ® Q <br /> L9 794380-208 87 STP ® Q <br /> L9 794380-304 87 STP © Q <br /> L10 794380-208 87 Fill © Q <br /> L10 794380-304 87 Fill Q Q <br /> L11 794380-208 91 STP © Q <br /> L11 794380-304 91 STP © ❑i` <br /> L12 794380-208 91 Fill Q <br /> L12 794380-304 91 Fill ® 0 <br /> L13 794380-208 Diesel STP <br /> L13 794380-304 Diesel STP Q Q <br /> L14 794380-208 Diesel Fill ® Q <br /> L14 794380-304 Diesel Fill _ _ ri <br /> L15 794380-208 Vent Sump ® Q <br /> L15 794380-304 Vent Sump ® Q <br /> L17 794380-208 Dispenser 112 Q Q <br /> L17 794380-304 Dispenser 1/2 ® Q <br /> L18 794380-208 Dispenser 314 ® Q <br /> L18 794380-304 Dispenser 314 © 0 <br /> L19 794380-208 Dispenser 516 ® Q <br /> 1-19 794380-304 Dispenser 5/6 ® Q <br /> L20 794380-208 Dispenser 718 Q Q <br /> L20 794380-304 Dispenser 718 Q <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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