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COMPLIANCE INFO_2019
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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PR0231097
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COMPLIANCE INFO_2019
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Last modified
9/22/2021 9:39:46 AM
Creation date
6/28/2021 9:07:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231097
PE
2361
FACILITY_ID
FA0004016
FACILITY_NAME
SUSD-CORPORATE YARD
STREET_NUMBER
1932
STREET_NAME
EL PINAL
STREET_TYPE
DR
City
STOCKTON
Zip
95205
APN
11708027
CURRENT_STATUS
01
SITE_LOCATION
1932 EL PINAL DR
P_LOCATION
01
P_DISTRICT
002
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 (Page s of 6) <br /> Monitoring Device Used Device Model # Monitoring Device Used Device Model # <br /> VENT I TRANSITION SUMP ID : VENT I TRANSITION SUMP ID : <br /> ❑ Sump Sensor ❑ Sump Sensor <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> UDC ID : 1 / 2 - DIESEL ONLY UDC ID : 3 / 4 = DIESEL ONLY <br /> Q Electronic Sensor U L S Z Electronic Sensor U L S <br /> ❑ Mechanical Device ❑ Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> UDC ID : 5 / 6 - 87 ONLY UDC ID : <br /> N Electronic Sensor U L S ❑ Electronic Sensor <br /> ❑ Mechanical Device ❑ Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> UDC ID : UDC ID : <br /> ❑ Electronic Sensor ❑ Electronic Sensor <br /> ❑ Mechanical Device ❑ Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> UDC ID : UDC ID : <br /> ❑ Electronic Sensor ❑ Electronic Sensor <br /> ❑ Mechanical Device ❑ Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> ❑ Other (Specify in section VII.) ❑ Other (Specify in section VII.) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> ❑ Other (Specify in section Vll.) ❑ Other (Specify in section VII.) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> ❑ Other (Specify in section Vll.) ❑ Other (Specify in section VII.) <br /> Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system <br /> control panel monitors more components than this form accommodates, additional copies of these pages may be attached. <br /> VII . COMMENTS <br /> Use this section to provide additional comments about the inventory of the equipment certified. <br /> ID = Identification, VPH = Vacuum/PressuraWrostatic, UDC = Under-Dispenser Containment <br />
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