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COMPLIANCE INFO_2023
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0537919
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
10/25/2023 2:46:30 PM
Creation date
1/11/2023 11:05:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0537919
PE
2351
FACILITY_ID
FA0021886
FACILITY_NAME
Love's Travel Stop #538
STREET_NUMBER
15250
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
15250 N THORNTON RD
P_LOCATION
99
P_DISTRICT
004
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 - Loves Lodi 4-26-23 ADDITONAL PAGE LARGE SENSOR SITE <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 19 304 87 STP SUMP BRINE 0 ❑ <br /> L 20 304 91 STP SUMP BRINE 0 ❑ <br /> L 21 323 87 STP SUMP 0 ❑ <br /> L 22 323 91 STP SUMP 0 ❑ <br /> L23 304 87 FILL BRINE 0 ❑ <br /> L 24 323 DIESEL FILL 0 ❑ <br /> L 25 323 91 FILL SUMP 0 ❑ <br /> L 26 323 DIESEL STP 0 ❑ <br /> L 27 304 91 FILL FILL BRINE 0 ❑ <br /> L 28 304 DIESEL FILL BRINE 0 ❑ <br /> L 29 204 VENT BOX BRINE 0 0 <br /> L 30 323 VENT BOX 0 ❑ <br /> L 31 304 DIESEL STP BRINE 0 ❑ <br /> L 32 323 87 STP SUMP 0 ❑ <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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