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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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PR0507837
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COMPLIANCE INFO_2023
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Last modified
7/5/2023 11:01:42 AM
Creation date
2/27/2023 11:07:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0507837
PE
2361
FACILITY_ID
FA0008057
FACILITY_NAME
H&S ENERGY PRODUCTS, LLC 3084
STREET_NUMBER
3940
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
APN
21220004
CURRENT_STATUS
01
SITE_LOCATION
3940 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
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 /> L3 0794390-420 T5 AST MST Annular 171 r] <br /> L4 0794390-420 T6 AST SIPHON Annular 0 <br /> L5 0794380-208 AST transition sump �✓ <br /> L7 0794390-420 DSL East Annular <br /> L9 0794380-208 87 STP 0✓ ri <br /> L10 0794380-208 91 STP 0 ri <br /> L11 0794380-208 DSL STP WEST 1.5 STP ®✓ 0 <br /> L12 0794380-208 DSL WEST HI FLO STP r 0 <br /> L13 0794380-208 DSL EAST SYPH Sump 0✓ 0 <br /> L14 0794390-420 87-91 Annular 0✓ <br /> L15 0794390-420 DSL WEST Annular �✓ <br /> L16 0794380-208 DSL EAST 5HP STP 0✓ 0 <br /> D <br /> D 0 <br /> D <br /> 0 � <br /> 17 r] <br /> 0 El <br /> 0 r] <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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