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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231487
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COMPLIANCE INFO_2021
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Last modified
12/27/2021 11:48:48 AM
Creation date
2/3/2021 9:32:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231487
PE
2351
FACILITY_ID
FA0000293
FACILITY_NAME
Pershing Holdings, Inc. DBA Esclon Arco
STREET_NUMBER
1329
STREET_NAME
ESCALON
STREET_TYPE
Ave
City
Escalon
Zip
95320
APN
22510003
CURRENT_STATUS
01
SITE_LOCATION
1329 Escalon Ave
P_LOCATION
06
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►D"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 794380-208 UDC 1&2 ® ❑ <br /> L1 794380-304 UDC 1&2 DW ® ❑ <br /> L2 794380-208 UDC 3&4 ® ❑ <br /> L2 794380-304 UDC 3&4 DW ® ❑ <br /> L3 794380-208 UDC 5&6 ® ❑ <br /> L3 794380-304 UDC 5&6 DW ® ❑ <br /> L4 794380-208 UDC 7&8 ® ❑ <br /> L4 794380-304 UDC 7&8 DW ® ❑ <br /> L5 794380-208 UDC 9&10 ® ❑ <br /> L5 794380-304 UDC 9&10 DW ® ❑ <br /> L6 794380-208 UDC 11&12 ® ❑ <br /> L6 794380-304 UDC 11&12 DW ® ❑ <br /> L7 794380-208 Vent Box ® ❑ <br /> L7 794380-304 Vent Box DW ® ❑ <br /> L8 794380-208 91 STP Sump ® ❑ <br /> L8 794380-304 91 STP Sump DW ® ❑ <br /> L9 794380-208 91 Fill Sump ® ❑ <br /> L9 794380-304 91 Fill Sump DW ® ❑ <br /> 1-10 794380-303 91 Annular ® ❑ <br /> L11 794380-303 87 Annular ® ❑ <br /> L12 794380-208 87 Fill Sump ❑ <br /> L12 794380-304 87 Fill Sump DW ® ❑ <br /> L13 794380-208 87 STP Sump ® ❑ <br /> L13 794380-304 87 STP Sump DW ® ❑ <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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