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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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PR0232601
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COMPLIANCE INFO_2023
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Last modified
3/21/2024 3:14:57 PM
Creation date
1/17/2023 11:00:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0232601
PE
2361
FACILITY_ID
FA0004525
FACILITY_NAME
CHEVRON STATION #372736/2223
STREET_NUMBER
9484
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09055063
CURRENT_STATUS
01
SITE_LOCATION
9484 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\lsauers1
Tags
EHD - Public
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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />Z Check this box if tank gauging is used only for inventory control. <br />LJ Check this box if NO tank gauging equipment is installed. <br />Do not complete this section if either ,box is checked. <br />Yes <br />No <br />NA <br />All wiring has been: 1 j visually inspected for kinks, breaks and proper entry and <br />termination; and 2 tested for ground faults? <br />Li <br />Ll <br />J <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 />Lj <br />Li <br />Ll <br />Was accuracy of system's product level readings tested? <br />L-3 <br />Ll <br />Ll <br />Was accuracy of system's water level readings tested? <br />Ll <br />Ll <br />D <br />Were all probes reinstalled properly? <br />Lj <br />Ll <br />Ll <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />I Ll <br />Probe ID <br />Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />Q <br />El <br />D <br />Q <br />Lj <br />Q <br />Ll <br />Page 5 of 6 <br />
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