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COMPLIANCE INFO_2023
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231098
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COMPLIANCE INFO_2023
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Last modified
4/24/2023 9:26:09 AM
Creation date
1/30/2023 12:04:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231098
PE
2361
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
01
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
Tags
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 programming. <br /> Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-208 DIESEL STP SUMP x ❑ <br /> L2 794380-208 91 STP SUMP x ❑ <br /> L3 794380-205 PIPE SUMP x ❑ <br /> L4 794380-208 DIESEL UDC # 3 x ❑ <br /> L5 794380-208 CENTER 91 UDC #2 x ❑ <br /> L6 794380-208 WEST 91 UDC # 1 x ❑ <br /> L7 794380-208 LEAVE VALVE BOX x ❑ <br /> C1 794380-344 91 ANNULAR x <br /> C2 794380-344 DIESEL ANNULAR x ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 al/monitoring equipment either replaced or repaired in Section 9 <br /> Page 3of6 <br />
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