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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO_2021
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Last modified
12/28/2021 3:41:23 PM
Creation date
1/22/2021 2:21:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0516526
PE
2361
FACILITY_ID
FA0012659
FACILITY_NAME
LOVES COUNTRY STORES OF CALIFORNIA #223
STREET_NUMBER
1553
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534024
CURRENT_STATUS
01
SITE_LOCATION
1553 COLONY RD
P_LOCATION
05
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 /> 6. SENSOR TESTING RESULTS - ADDITONAL PAGE LARGE SENSOR SITE LOVES RIPON 2021 <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 Sensor Model Component(s) Monitored Pass Fail <br /> L 26 208 DISP 19-20 0 ❑ <br /> L 27 208 DIESEL STP 0 ❑ <br /> L 28 208 DIESEL TLM T 1 0 ❑ <br /> L 29 208 DIESEL ANNULAR T 1 0 ❑ <br /> L 30 208 DIESEL FILL T 1 0 ❑ <br /> L 31 208 DIESEL STP T 2 0 ❑ <br /> L 32 208 DIESEL TLM T 2 0 ❑ <br /> L 33 208 DISP 1-2 0 ❑ <br /> L 34 208 DISP 5-6 0 ❑ <br /> L 35 208 DISP 9-10 0 ❑ <br /> L 36 208 DISP 13-14 0 0 <br /> L 37 208 DISP 3-4 0 ❑ <br /> L 38 208 DISP 7-8 0 ❑ <br /> L 39 208 DISP 11-12 0 ❑ <br /> L 40 208 DISP 15-16 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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