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COMPLIANCE INFO_2023
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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PR0537919
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COMPLIANCE INFO_2023
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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 <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 17 208 21 M 22SAT 0 ❑ <br /> L 18 208 17 SAT 0 ❑ <br /> L 19 208 24 MAIN 0 ❑ <br /> L 20 208 17 18 SAT 0 ❑ <br /> L 21 208 23M 24 SAT 0 ❑ <br /> L 22 208 18M 19 SAT 0 ❑ <br /> L 23 208 22M 23 SAT 0 ❑ <br /> L 25 208 TRANS SUMP 0 ❑ <br /> L 26 420 AST 3 ANNULAR SPACE 0 ❑ <br /> L 27 420 DEF ANNULAR 0 ❑ <br /> L 28 208 DEF SUMP 0 0 <br /> L 29 420 AST 2 ANNULAR 0 ❑ <br /> L 30 420 AST 1 ANNULAR 0 ❑ <br /> L 31 208 19 20 SAT 0 ❑ <br /> L 32 208 20 21 SAT 0 ❑ <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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