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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 1W 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 /> L21 794380-208 Dispenser 9110 <br /> L21 794380-304 Dispenser 9110 <br /> L22 794380-208 Dispenser 11112 © Q <br /> L22 794380-304 Dispenser 11112 © Q <br /> L23 794380-208 Dispenser 13114 <br /> L23 794308-304 Dispenser 13114 <br /> L24 794380-208 Dispenser 15116 <br /> L24 794380-304 Dispenser 15116 <br /> S1 330020-463 87 Product Line <br /> S2 330020-463 87 Vapor ® 0 <br /> S3 330020-463 87 Vent ® Q <br /> S4 330020-463 91 Product Line <br /> S5 330020-463 91 Vent Line <br /> S6 330020-463 Diesel Product Line <br /> S7 330020-463 Diesel Vent <br /> 0 0 <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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