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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0523684
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COMPLIANCE INFO_2021
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Last modified
4/21/2022 8:11:54 AM
Creation date
3/3/2021 11:49:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0523684
PE
2351
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
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 <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 87 STP sump 0 ❑ <br /> L2 794380-420 87 STP brine 0 ❑ <br /> L3 794380-208 91 STP sump 0 ❑ <br /> L4 794380-420 91 STP brine 0 ❑ <br /> L5 794380-208 Diesel STP sump 0 ❑ <br /> L6 794380-420 Diesel STP brine 0 ❑ <br /> L7 794380-208 87 fill sump 0 ❑ <br /> L8 794380-420 87 fill brine 0 ❑ <br /> L9 794380-208 91 fill sump 0 ❑ <br /> L10 794380-420 91 fill brine 0 ❑ <br /> 1-11 794380-208 Diesel fill sump 0 ❑ <br /> L12 794380-420 Diesel fill brine 0 ❑ <br /> L13 794380-303 87 annular 0 ❑ <br /> L14 794380-303 91 -diesel annular 0 ❑ <br /> L15 794380-208 Vent sump 0 ❑ <br /> L16 794380-420 Vent sump brine 0 ❑ <br /> L17 794380-208 Dispenser 1-2 0 ❑ <br /> L18 794380-420 Dispenser 1-2 brine 0 ❑ <br /> L19 794380-208 Dispenser 3-4 0 ❑ <br /> L20 794380-420 Dispenser 3-4 brine 0 ❑ <br /> L21 794380-208 Dispenser 5-6 0 ❑ <br /> L22 794380-420 Dispenser 5-6 brine 0 ❑ <br /> L23 794380-208 Dispenser 7-8 0 ❑ <br /> L24 794380-420 Dispenser 7-8 brine 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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