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COMPLIANCE INFO_2023
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231532
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
11/17/2023 9:52:48 AM
Creation date
2/14/2023 9:17:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231532
PE
2351
FACILITY_ID
FA0000185
FACILITY_NAME
WAYZ FOOD & LIQUOR WAYZ GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
01
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
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 Component(s) Monitored Pass Fail <br /> L1 208 1-2 0 ❑ <br /> L2 304 1-2 BRINE 0 ❑ <br /> L3 208 3-4 0 ❑ <br /> L4 304 3-4 BRINE 0 ❑ <br /> L5 208 5-6 0 ❑ <br /> L6 304 5-6 BRINE 0 ❑ <br /> L7 208 7-8 0 ❑ <br /> L8 304 7-8 BRINE 0 ❑ <br /> L9 208 87 STP 0 ❑ <br /> L10 304 87 STP BRINE 0 ❑ <br /> L11 303 87 ANN 0 0 <br /> L12 304 87 FILL BRINE 0 ❑ <br /> L13 208 87 FILL SUMP 0 ❑ <br /> L14 304 91 STP BRINE 0 ❑ <br /> L15 208 91 FILL SUMP 0 ❑ <br /> L16 208 91 STP 0 ❑ <br /> L17 304 91 FILL BRINE 0 ❑ <br /> L18 303 91-DSL ANN 0 ❑ <br /> L19 208 DSL STP 0 ❑ <br /> L20 304 DSL STP BRINE 0 ❑ <br /> L21 208 DSL FILL 0 ❑ <br /> L22 304 DSL FILL BRINE 0 ❑ <br /> L23 208 VENT 0 ❑ <br /> L24 304 VENT BRINE 0 ❑ <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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