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COMPLIANCE INFO_2022
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0527629
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
7/1/2022 10:58:11 AM
Creation date
3/3/2022 10:27:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0527629
PE
2351
FACILITY_ID
FA0018721
FACILITY_NAME
Costco Wholesale #1031
STREET_NUMBER
2440
STREET_NAME
DANIELS
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
2440 DANIELS ST
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 lD <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L29 <br />794380-304 <br />Disp 15/16 UDC Sump Brine Sensor <br />® <br />❑ <br />L30 <br />794380-304 <br />Disp 17/18 UDC Sump Brine Sensor <br />® <br />❑ <br />L31 <br />794380-304 <br />Disp 19/20 UDC Sump Brine Sensor <br />® <br />❑ <br />L32 <br />794380-304 <br />Disp 21/22 UDC Sump Brine Sensor <br />® <br />❑ <br />L33 <br />794380-304 <br />Disp 23/24 UDC Sump Brine Sensor <br />® <br />❑ <br />L34 <br />794380-304 <br />T1 87A Fill Sump Brine Sensor <br />® <br />❑ <br />L35 <br />794380-304 <br />T1 87A Fill Sump Brine Sensor <br />® <br />❑ <br />L36 <br />794380-304 <br />T2 87B Fill Sump Brine Sensor <br />® <br />❑ <br />L37 <br />794380-304 <br />T2 87B Fill Sump Brine Sensor <br />® <br />❑ <br />L38 <br />794380-304 <br />T3 91 Fill Sump Brine Sensor <br />® <br />❑ <br />L39 <br />794380-304 <br />T3 91 Fill Sump Brine Sensor <br />® <br />❑ <br />L40 <br />794380-304 <br />T4 Additive Fill -Turbine Sump Brine Sensor <br />® <br />❑ <br />L41 <br />794380-304 <br />T4 Additive Vent Sump Brine Sensor <br />® <br />❑ <br />L42 <br />794380-304 <br />All Unleaded Tanks Vent Box Brine Sensor <br />® <br />❑ <br />L43 <br />794380-323 <br />All Unleaded Tanks Vent Box Sensor <br />® <br />❑ <br />L44 <br />794380-323 <br />T4 Additive Fill -Turbine Sump Sensor <br />® <br />❑ <br />L45 <br />794380-323 <br />T1 Unleaded 87A Fill Sump Sensor <br />® <br />❑ <br />L46 <br />794380-323 <br />T2 Unleaded 87B Fill Sump Sensor <br />® <br />❑ <br />L47 <br />794380-323 <br />T13Unleaded 91 Fill Sump Sensor <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 4 of 6 <br />
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