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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232555
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COMPLIANCE INFO_2021
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Last modified
1/27/2022 9:35:25 AM
Creation date
3/16/2021 7:57:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0232555
PE
2361
FACILITY_ID
FA0003679
FACILITY_NAME
CALIFORNIA STOP*
STREET_NUMBER
2224
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
16313007
CURRENT_STATUS
01
SITE_LOCATION
2224 MANTHEY RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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U nderg round Storage Tan k <br />Monitoring System Gertification Form <br />8. IN.TANK GAUGING TESTING <br />X Check this box if tank gauging is used only for inventory control. <br />Check this box if NO tank gauging equipment is installed. <br />(Dp ltot complete fhis secfio n if either box is checked.) <br />n Yes No NA <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination; and 2) teslqd for ground faults?n n n <br />Were all in{ank gauging probes visually inspected for damage and residue OuitOup <br />lQlnsure that floats move freely, functionally tested, and confirmed operational?!n T <br />Was accuracy of system's product level readings tested?n tr n <br />Was accuracy of system's water level readings tested?n n n <br />Were all probes reinstalled properly?u !n <br />Were all items on the equipment manufacturer's maintenance checklist completed?n !n <br />Probe lD Probe Model Tanks Monitored Pass Fail <br />tr n <br />n tr <br />tr n <br />tr tr <br />n n <br />n n <br />9. COMMENTS <br />Describe all answers marked "No" or "Fail" and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />Page 5 of 6
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