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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231065
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
8/18/2022 4:46:19 PM
Creation date
7/7/2022 8:24:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231065
PE
2361
FACILITY_ID
FA0003699
FACILITY_NAME
DSS COMPANY
STREET_NUMBER
655
Direction
W
STREET_NAME
CLAY
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14707110
CURRENT_STATUS
01
SITE_LOCATION
655 W CLAY ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Address Knife River Construction, 655 W. Clay, Stockton CA 95206 Record ID PR0231065 <br /> Date 7/20/2022 Program: UST <br /> PHOTO 1: <br /> Incorrect secondary containment testing date listed. <br /> Answered `YES' to question `Has each leak detection alarm since the previous inspection been responded to appropriately?' but there were <br /> no alarms the previous month. <br /> 111111W — <br /> ORT Pa s2of 2) <br /> UNDERGROUND F RA O ANK INSPECTION REP ® N <br /> DESIGNATED UND ❑ <br /> ERGROUND STORAGE TANK OP <br /> Has each follow-up action of legion III from the vll. INSPED^ON <br /> HIS ORYPriatelf Y N NA <br /> each documantetion ve i m rare servpicrea ro roil inspection <br /> ,t Y ® ❑ <br /> Attach RM HISTOR ❑ O <br /> a copy or the alarm histo VIII. ALARM <br /> Hath�s a chndonng system powered on antl roper opereg report. <br /> (Attach leak detection alarm since the Previous inspection been responded to aDPr°Pd�eM a qualified UST ® ❑ ❑ <br /> documenfadon ve propriare service ro roil report) n,bean responded to by <br /> mymg ap not bean <br /> Have all containment sumps,that have hatl a leak detection alarm since the previous inspects° dap and have debris. <br /> service technician? since rice previous inspecon for damage,water <br /> L/st below in 3 o O(,ell eonmfnment sum ulre a Nsual insPe ecdon IX. <br /> responded to by a qualMed USTservfce technle an�Containmen�sumps/distad below req reporded ins <br /> hazardous substance and ro r ser locetlon.The results of me v15W1 ins actlon must ba <br /> IX.aen UNDERGROUND STORAGE TANK SYSTEM INSPECTION Y N <br /> Is the containment sump free of damage,water,debris,and hazardous substance? Containment Sump ID ❑ ❑ <br /> Contalnment sump ID Y N ❑ ❑ <br /> Turbine Pum ® ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> Ara all sensors in containment sumps inspected located to detect a lealk the esdlest opportunity? <br /> Is the spill container free of damage,water,debris,and hazardous substance? ❑ ❑ <br /> TANK to Tank 1-Diesel ® ❑ <br /> Tank 2-Unleaded Gasoline ® ❑ <br /> lathe fill pipe free of obstmcvonal ❑ ❑ <br /> TANK ID Tank 1-Diesel ® ❑ ❑ ❑ <br /> Tank 2-Unleaded Gasoline ® ❑ <br /> the fill cap securely on the fill pipe? ❑ ❑ <br /> WANKID Tank 1-Diesel ® ❑ ❑ ❑ <br /> Tank 2-Unleaded Gasoline ® ❑ <br /> Is the untler•dispenser containment free of damage,water,debns,and hazardous substance? <br /> Under-dispenser Containment lD Y N Undertllspenser containment to Y N <br /> El ❑ 11Diesel Dis enser ® ❑ ❑ <br /> Gasoline Dispenser ® ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑Li 1i ❑ ❑ ❑ <br /> El 1:1 ❑ [1 ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ <br /> Are all sensors in under-dispenser containment located to detect a leak at the earliest I❑T❑ 1_1X. TESTING AND MAINTENANCE Y N NA PERFORMED <br /> Has the monitoring system certfioation been completed within the past 12 months? ® 117/30/21 <br /> Has the spill container telling been completed within the past 12 months? ® 137/30/21 <br /> Has the overfill prevention equipment inspection been completed within the past 38 months? ® ❑ ❑ 7/30/21 <br /> Has the secondary containment testing been completed within the past 36 months? ® ❑ ❑ 1/21/20 <br /> ® ❑ ❑ 8/9/04 <br /> Has the tank 1191111111 testing been completed within required fimefremes? ® ❑ ❑ 8/9/04 <br /> Has the line tightness testing been completed wdhin the required timeframes? <br /> Other wired testin /maintenance was cont leted within re wired timeframe. List festhnainfenance items below.) ® ❑ 7/30/21 <br /> Test/Maintenance:Vapor Recove Inspections <br /> 01❑ 7130121 <br /> Test/Maintenance:Line Leak Detectors ❑ ❑ <br /> Test/Maintenance: ❑ ❑ <br /> Test/Maintenance: ❑ ❑" <br /> Test/Maintenance: ❑ ❑ <br /> FACILITY EMPLOYEE TRAINING <br /> Test/Maintenance: XI. ® ❑ <br /> facility employee duties received the required facility employee training within the past 12 months? <br /> We all individuals performin Opts than this Porro accommodates,addlgonel copies of this page maybe attached. <br /> rMe facilltyhas more comp <br /> N-Nq NA=Not Applicable,ID= cyfion <br /> Gabriela Garcia-Mejia, EHS Page 1 of 2 <br />
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