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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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PR0232523
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
1/13/2023 9:15:56 AM
Creation date
7/12/2022 9:52:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0232523
PE
2361
FACILITY_ID
FA0003833
FACILITY_NAME
Super Store Industries - Grocery Division
STREET_NUMBER
16888
STREET_NAME
MCKINLEY
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16888 McKinley Ave
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
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 /> L-1 208 TANK -1 STP 0 ❑ <br /> L-2 303 TANK-1 ANNULAR 0 ❑ <br /> L-3 208 TANK-2 STP 0 ❑ <br /> L-4 303 TANK-2 ANNULAR 0 ❑ <br /> L-5 208 NEW OIL SUMP 0 ❑ <br /> L-6 303 NEW OIL ANNULAR 0 ❑ <br /> L-7 208 WASTE OIL SUMP 0 ❑ <br /> L-8 303 WASTE OIL ANNULAR 0 ❑ <br /> DISP PAN 1-2 406 UDC STAND ALONE 0 ❑ <br /> DISP PAN 3-4 406 UDC STAND ALONE 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 3 of 6 <br />
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