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COMPLIANCE INFO_2022
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0506497
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COMPLIANCE INFO_2022
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Last modified
10/10/2022 9:32:56 AM
Creation date
7/28/2022 2:20:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0506497
PE
2351
FACILITY_ID
FA0007461
FACILITY_NAME
7-ELEVEN INC #14113
STREET_NUMBER
3040
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10027018
CURRENT_STATUS
01
SITE_LOCATION
3040 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
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 /> 8. IN-TANK GAUGING TESTING <br /> ® Check this box if tank gauging is used only for inventory control. <br /> rl Check this box if NO tank gauging equipment is installed. Yes No NA <br /> Do not complete this section if either box is checked. <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and © 0 0 <br /> termination; and 2 tested for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup © 0 0 <br /> to ensure that floats move freely, functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? ® 0 0 <br /> Was accuracy of system's water level readings tested? © 0 0 <br /> Were all probes reinstalled properly? © I 0 <br /> Were all items on the equipment manufacturer's maintenance checklist completed? I [ 0 <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> T1 VR 846390-107 87 © r] <br /> T2 VR 846390-107 91 © 1:1 <br /> 0 0 <br /> 0 � <br /> 0 <br /> 9. COMMENTS <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> Cold Start Verification Monitoring Certification due to ISD Software Upgrade. <br /> LLD'S Not Required to be Tested. <br /> Page 5 of 6 <br />
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