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COMPLIANCE INFO_2021
EnvironmentalHealth
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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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Entry Properties
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 /> 8. IN-TANK GAUGING TESTING <br /> XCheck this box if tank gauging is used only for inventory control. <br /> ❑Check this box if NO tank gauging equipment is installed. Yes . No SNA I <br /> Do not complete this section if either box is checked. <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and termination; ❑ ❑ <br /> and 2 tested for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ❑ ❑ <br /> ensure that floats move freely, functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> 9. COMMENTS <br /> Describe all answers marked "No"or"Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> 10. MONITORING SITE PLAN <br /> Page 5 of 6 <br />
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