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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
2/28/2024 2:54:27 PM
Creation date
5/2/2022 8:22:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
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 Sensor Model Component(s) Monitored Pass Fail <br /> L28 794380-208 DISP 19 MASTER 0 <br /> L29 794380-208 DISP 19 SATELLITE 0 <br /> L30 794380-208 DISP 20 MASTER 0 Irl <br /> L31 794380-208 DISP 20 SATELLITE 0 <br /> L32 794380-208 DISP 21 MASTER ✓0 <br /> L33 794380-208 DISP 21 SATELLITE ✓l <br /> L34 794380-208 DISP 22 MASTER ✓l 0 <br /> L35 794380-208 DISP 22 SATELLITE ✓l <br /> L36 794380-208 DISP 23 MASTER ✓i <br /> L37 794380-208 DISP 23 SATELLITE 0 Q <br /> L38 794380-208 DISP 24 MASTER ✓® Q <br /> L39 794380-208 DISP 24 SATELLITE F] <br /> L40 794380-208 DISP 25 MASTER ✓l ❑I— <br /> L41 794380-208 DISP 25 SATELLITE ✓l r] <br /> L42 794380-208 DISP 26 MASTER ✓® El <br /> L43 794380-208 DISP 26 SATELLITE ✓l Q <br /> L44 794380-208 DISP 27 MASTER 0 ri <br /> L45 794380-208 DISP 27 SATELLITE F1 ri <br /> L46 794380-208 DISP 28 MASTER 0 ri <br /> L47 794380-208 DISP 28 SATELLITE i✓ r] <br /> L48 794380-208 DISP 29 MASTER ✓® Q <br /> 17 17 <br /> r] f <br /> rr] <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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