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COMPLIANCE INFO_2022
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231736
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
1/12/2023 11:27:50 AM
Creation date
8/15/2022 8:30:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231736
PE
2361
FACILITY_ID
FA0002562
FACILITY_NAME
Sutter Valley Hospitals dba Sutter Tracy Community Hospital
STREET_NUMBER
1420
Direction
N
STREET_NAME
TRACY
STREET_TYPE
Blvd
City
Tracy
Zip
95376
APN
233-081-01
CURRENT_STATUS
01
SITE_LOCATION
1420 N Tracy Blvd
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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<br />Underground Storage Tank <br />Monitoring System Certification Form <br /> <br /> <br />Page 5 of 6 <br /> <br /> <br />8. IN-TANK GAUGING TESTING <br /> <br />☒ Check this box if tank gauging is used only for inventory control. <br />☐ Check this box if NO tank gauging equipment is installed. <br /> (Do not complete this section if either box is checked.) <br />Yes No NA <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination; and 2) tested for ground faults? ☐ ☐ ☐ <br />Were all in-tank gauging probes visually inspected for damage and residue buildup <br />to ensure that floats move freely, functionally tested, and confirmed operational? ☐ ☐ ☐ <br />Was accuracy of system’s product level readings tested? ☐ ☐ ☐ <br />Was accuracy of system’s water level readings tested? ☐ ☐ ☐ <br />Were all probes reinstalled properly? ☐ ☐ ☐ <br />Were all items on the equipment manufacturer’s maintenance checklist completed? ☐ ☐ ☐ <br /> <br />Probe ID Probe Model Tanks Monitored Pass Fail <br /> ☐ ☐ <br /> ☐ ☐ <br /> ☐ ☐ <br /> ☐ ☐ <br /> ☐ ☐ <br /> ☐ ☐ <br /> <br />9. COMMENTS <br /> <br />Describe all answers marked “No” or “Fail” and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />This site is a safe suction system therefore it does not have any LLD's installed. There is no shut- <br />down when sensors are tripped because this system if for a hospital generator back-up. <br />
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