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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PATTERSON PASS
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2300 - Underground Storage Tank Program
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PR0231708
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COMPLIANCE INFO_2021
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Last modified
12/28/2021 11:36:26 AM
Creation date
2/3/2021 9:33:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231708
PE
2361
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
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 <br /> List only sensors tested on date of this certification. List "Sensor ID"as labeled in system programming. <br /> Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Components) Monitored Pass Fail <br /> L1 794380-208 Dispenser 1&2 x ❑ <br /> L2 794380-208 Dispenser 3&4 x ❑ <br /> L3 794380-208 Dispenser 5&6 x ❑ <br /> L4 794380-208 Dispenser 7&8 x ❑ <br /> L5 794380-208 87-Slave STP Sump x ❑ <br /> L6 794380-208 87-Slave Fill Sump x ❑ <br /> L7 794390-409 87- 87 Slave Annular x ❑ <br /> L8 794380-208 87- Master STP Sump x ❑ <br /> L9 794380-208 87-Master Fill Sump x ❑ <br /> 1-10 794390-409 87- Master Annular x ❑ <br /> L11 794380-208 Diesel STP Sump x ❑ <br /> L12 794380-208 Diesel Fill Sump x ❑ <br /> L13 794390-409 Diesel Annular x ❑ <br /> L14 794380-208 91 STP Sump x ❑ <br /> L15 794380-208 91 Fill Sump x ❑ <br /> L16 794390-409 91 Annular x ❑ <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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