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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231111
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COMPLIANCE INFO_2021
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Last modified
12/29/2021 8:57:42 AM
Creation date
5/4/2021 7:58:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231111
PE
2361
FACILITY_ID
FA0001659
FACILITY_NAME
QUIK STOP MARKET #039
STREET_NUMBER
2285
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
141-214-03
CURRENT_STATUS
01
SITE_LOCATION
2285 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7 , LINE LEAK DETECTOR TESTING <br /> EFJ Check this box if line leak detectors ARE NOT installed . (Do not complete this section .) <br /> Simulated release rate verified : ( Check all that apply . ) Yes No NA <br /> © 3 GPH 0 0 . 1 GPH © 0 . 2 GPH <br /> Has the testing apparatus been properly calibrated ? <br /> For emergency generator tank systems , does the LLD create an audible and visual 0 M <br /> alarm when a leak is detected ? <br /> For mechanical LLDs , does the LLD restrict the flow through the pipe when a <br /> release is detected ? <br /> For electronic LLDs , does the turbine automatically shut off when a release is 0 <br /> detected ? <br /> For electronic LLDs , does the turbine automatically shut off if any portion of the <br /> monitoring system is disabled or disconnected ? <br /> For electronic LLDs , does the turbine automatically shut off if any portion of the 0 <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs , have all accessible wiring connections been visually inspected rl Fn <br /> for kinks and breaks ? <br /> Were all items on the equipment manufacturer' s maintenance checklist completed ? <br /> Were all LLDs confirmed operational within regulatory requirements ? <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> 87 VM199LD -2000 REGULAR El ri <br /> 91 VM199LD -2000 PREMIUM F1 ri <br /> rl <br /> rl ri <br /> n Fr <br /> rl r <br /> 0 rl <br /> 0 � <br /> El ri <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 4 of 6 <br />
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