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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231462
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COMPLIANCE INFO_2021
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Last modified
9/9/2021 12:22:27 PM
Creation date
7/2/2021 11:42:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231462
PE
2361
FACILITY_ID
FA0000508
FACILITY_NAME
7- ELEVEN INC # 17647
STREET_NUMBER
1048
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21903003
CURRENT_STATUS
01
SITE_LOCATION
1048 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
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 l.D Sensor Model Component(s) Monitored Pass Fail <br /> L-1 794380-208 RUL STP SUMP 0 ❑ <br /> L-2 794380-208 PUL STP SUMP Z ❑ <br /> L-3 794390-407 RUL ANN ® ❑ <br /> L-4 794390-409 PUL ANN 0 ❑ <br /> L-6 794380-208 DISP 1-2 ❑ <br /> L-7 794380-208 DISP 3-4 <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ n <br /> n <br /> ❑ n <br /> D n <br /> ❑ Q <br /> Q <br /> ❑ Q <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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