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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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PR0530093
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COMPLIANCE INFO_2022
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Last modified
10/17/2022 12:46:45 PM
Creation date
9/12/2022 1:13:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0530093
PE
2351
FACILITY_ID
FA0019793
FACILITY_NAME
CRUISERS MANTECA #29
STREET_NUMBER
1137
Direction
W
STREET_NAME
LATHROP
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19724002
CURRENT_STATUS
01
SITE_LOCATION
1137 W LATHROP RD
P_LOCATION
04
P_DISTRICT
003
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 lD Sensor Model Components) Monitored Pass Fail <br /> S1 WR -463 87 Product ® ❑ <br /> S2 WR -463 87 Vent ® ❑ <br /> S3 VIR -463 87 Annular ® ❑ <br /> S4 VIR -463 87 Vapor ® ❑ <br /> S5 WR -463 91 Product ® ❑ <br /> S6 VIR -463 91 Vent ® ❑ <br /> S7 VIR -463 DSL Product ® ❑ <br /> S9 WR -463 DSL Vent ® ❑ <br /> S10 WR -463 DSL-91 Annular ® ❑ <br /> Q ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> C3 El <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 />
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