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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
2/2/2022 12:53:04 PM
Creation date
5/12/2021 9:57:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
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 /> L-26 OWI-2 OWS High Oil Omntec 2 ❑ J� <br /> W ❑ <br /> L-28 794380-208 UDC 19 M 10 ❑ <br /> L-29 794380-208 UDC 19 Sat 12 ❑ <br /> L-30 794380-208 UDC 20 M 12 ❑ <br /> L-31 794380-208 UDC 20 Sat ❑ <br /> L-32 794380-208 UDC 21 M ❑ <br /> L-33 794380-208 UDC 21 Sat ❑ <br /> L-34 794380-208 UDC 22 M ❑ <br /> L-35 794380-208 UDC 22 Sat ❑ <br /> L-36 794380-208 UDC 23 M ❑ <br /> L-37 794380-208 UDC 23 Sat ❑ <br /> L-38 794380-208 UDC 24 M ❑ <br /> L-39 794380-208 UDC 24 Sat ❑ <br /> L-40 794380-208 UDC 25 M ❑ <br /> L-41 794380-208 UDC 25 Sat ❑ <br /> L-42 794380-208 UDC 26 M ❑ <br /> L-43 794380-208 UDC 26 Sat ❑ <br /> L-44 794380-208 UDC 27 M ❑ <br /> L-45 794380-208 UDC 27 Sat ❑ <br /> L-46 794380-208 UDC 28 M ❑ <br /> L-47 794380-208 UDC 28 Sat ❑ <br /> L-48 794380-208 UDC 29 M ❑ <br /> �L-- W El <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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