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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0521942
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/18/2022 9:49:50 AM
Creation date
5/24/2021 10:32:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0521942
PE
2371
FACILITY_ID
FA0014921
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
1427
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
16902016
CURRENT_STATUS
01
SITE_LOCATION
1427 S AIRPORT WAY
P_LOCATION
02
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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. • Work Order ,lob : 41347 `" <br /> PO # : Jesus Jurado <br /> Service Station Systems, Inc. <br /> Ref # : ANNUAL T STING - 1427 EH <br /> 680 Quinn Ave <br /> San Jose, CA 95112 <br /> (408)971- 2445 <br /> dispatch@servicestationsystems.com <br /> Contractor License: 485184 WINE I <br /> Site : <br /> Rancho San Miguel Market <br /> 1427 S Airport Way <br /> Stockton, CA 95206 <br /> Work Performed I ROOM I IN <br /> Category : PM-Testing Unit# : 01 <br /> Item : VR TLS- 350 <br /> Component: Monitor Cert Serial # : dd08142078005002 <br /> Failure : Compliance Task# : 1 <br /> Repair : Passed Test <br /> Enter Date/Time of Service (Military Time ): 06-21 -2021 08 : 15 The following data was recorded by (Tech Kris Bell <br /> First/Last Name): <br /> Update Site Maintenance and ISD Logs , TAKE COMPLETE Name of person site keys returned to or Did Jesus <br /> PICTURES and attach to job : Not Use : <br /> The status of this task is : CLOSED - COMPLETE Brief Summary of Repairs or Additional Complcert all mons or <br /> Details : <br /> Monitoring Unit# : 01 <br /> Category : g Item : VR TLS-350 <br /> Component: Battery Serial# : dd08142078005002 <br /> Failure : Replace Battery Task# : 4 <br /> Repair: Replaced Same Model <br /> Enter Date/Time of Service (Military Time): 06-21 -2021 08 : 15 The foollling data was recorded by (Tech Kris Beal <br /> Fst/ a- COMPLETE <br /> Captured/Printed System Setup : COMPLETE Performed System Archive Backup : <br /> Mark new battery with today's date : COMPLETE Install new battery and re-install battery cover: COMPLETE <br /> Checked voltage of new battery mounted to PASS Added MONITOR CERT TASK to job due to DOES NOT APPLY <br /> ECPU : Monitoring Component REPLACED and/or <br /> COLD START performed : <br /> d cleared <br /> Cleared alarm on monitoring system : DOES NOT APPLY cleared the following n wkMon toringI createdand System larms� mall sensors <br /> alarm (s): while completing <br /> annual ) onitor Cert <br /> LOG NOT AVAILABLE . Name of person site keys returned to OR Did <br /> Update Site Maintenance Log , TAKE did not use <br /> PICTURE and attach picture to job : WHEN REQUESTED Not Use : <br /> CLOSED - COMPLETE Brief Summary of Repairs or Additional replace , I battery for <br /> The status of this task is : Details : Pm purposes <br /> Category : PM -Testing Unit# : 01 <br /> Component: Hydro.-Buckets Test Item : TANK <br /> Failure : Compliance Serial <br /> Repair : Passed Test Task# : 5 <br /> Enter Date/Time of Service (Military Time ): 06 .21 -2021 11 : 00 The following <br /> data <br /> a a was recorded by (Tech Kris R I ? <br /> Name of person site keys <br /> - - returned to or Did did no , 1 1se <br /> Update Site Maintenance and ISD Logs, TAKE COMPLETE Not Use : p <br /> PICTURES and attach to job : <br /> Page 1 of 2 <br /> Report Date : 6/21/2021 11 : 41 : 36 AM PST <br />
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