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COMPLIANCE INFO_2022
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO_2022
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Last modified
2/15/2023 2:37:41 PM
Creation date
6/13/2022 10:29:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0516526
PE
2361
FACILITY_ID
FA0012659
FACILITY_NAME
LOVES COUNTRY STORES OF CALIFORNIA #223
STREET_NUMBER
1553
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534024
CURRENT_STATUS
01
SITE_LOCATION
1553 COLONY RD
P_LOCATION
05
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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L-1 208 DISP 28-29 F <br /> L-2 208 DISP 30-31 0 <br /> L-3 208 DISP 32-33 I✓ <br /> L-4 208 DISP 34-35 I✓ Q <br /> L-5 208 DISP 36-37 I✓ <br /> L-6 208 DISP 38-39 0 <br /> rl IM <br /> rl 0 <br /> ri 0 <br /> 17 in <br /> © 0 <br /> 0 Irl <br /> 0 0 <br /> Il Im <br /> Il <br /> rl FFI <br /> rl 0 <br /> ri IM <br /> 17 Irl <br /> 0 Irl <br /> r] Irl <br /> ri IM <br /> 0 0 <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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