My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2023
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
Y
>
YOSEMITE
>
1711
>
2300 - Underground Storage Tank Program
>
PR0231455
>
COMPLIANCE INFO_2023
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/15/2024 2:31:08 PM
Creation date
3/29/2023 10:21:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231455
PE
2361
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
53
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Appendix VI <br /> Underground Storage Tank <br /> Monitoring System Certification Form <br /> TYPE OF ACTION Olnstallation Repair x12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Certification Date <br /> 10422475 04/26/2023 <br /> Facility Name <br /> Yosemite Avenue ARCO Am Pm <br /> Facility Address City ZIP Code <br /> 1711 E. Yosemite Ave Manteca 95336 <br /> 2., SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Certification Phone <br /> Diamond Petroleum Services, Inc. (925) 470-0803 <br /> Mailing Address <br /> 3619 King Ct Antiioch, CA 94509 <br /> Service Technician Performing Test <br /> Guadalupe Sanchez <br /> Contractor/Tank Tester License Number <br /> 1005444 <br /> ICC Number ICC Expiration Date <br /> 5250451 04/0112025 <br /> .3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> Veeder-Root ATG Technician #A30138 09/29/2023 <br /> VMI Vaporless LDT-890 Tester#4068 06/13/2023 <br /> 4. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST <br /> I hereby certify that the monitoring system is operational in accordance with California Code of <br /> Regulations, title 23, division 3, chapter 96, section 2638; that required supporting documentation is <br /> attached,and all information contained herein is accurate. <br /> Service Technician Signature Date Total #of Pages <br /> 04/26/2023 22 <br /> ��-- <br /> 5. MONITORING SYSTEM AND PROGRAMMING <br /> CERS = California Environmental Reporting System, GPH = Gallons Per Hour, ID = Identification, <br /> ICC = International Code Council, LLD = Line Leak Detector, NA = Not Applicable, SW= Single- <br /> Walled, UDC = Under-Dispenser Containment, UST = Underground Storage Tank, <br /> VPH = Vacuum/Pressure/Hydrostatic <br /> Page 1 of 6 <br />
The URL can be used to link to this page
Your browser does not support the video tag.