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COMPLIANCE INFO_2022
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2300 - Underground Storage Tank Program
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PR0231784
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COMPLIANCE INFO_2022
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Last modified
11/30/2022 7:58:18 AM
Creation date
1/6/2022 8:43:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231784
PE
2361
FACILITY_ID
FA0003834
FACILITY_NAME
H & S ENERGY PRODUCTS LLC #3081
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
097-410-48
CURRENT_STATUS
01
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
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 <br /> 7. LINE LEAK DETECTOR TESTING <br /> ❑ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> Simulated rate verified: (Check all that apply) <br /> ® 3 GPH ❑ 0.1 GPH ❑ 0.2GPH Yes No NA <br /> Has the testing apparatus been properly calibrated? ® ❑ ❑ <br /> For emergency generator tank systems, does the LLD create an audible and visual El Elalarm when a leak is detected? <br /> ED <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a El Elrelease is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a leak is ® El ❑ <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 ® ❑ ❑ <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected ® El El <br /> kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist ® El Elcompleted? <br /> Were all LLDs confirmed operational within regulatory requirements? ® ❑ ❑ <br /> L L D ID LLD Mode/ Lines Monitored Pass Fail <br /> Q1 8484 91 ® ❑ <br /> Q2 8484 87 ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ <br /> El <br /> ❑ El <br /> ❑ 1:1El ❑ <br /> ❑ ❑ <br /> Describe ail answers marked "No"or "Fai/"and proposed remedy in Section 9. <br /> List a#Monitoring equipment either rep/aced or repaired in Section 9. <br /> Page 5 of 8 <br />
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