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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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REYNOLDS RANCH
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2300 - Underground Storage Tank Program
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PR0535432
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COMPLIANCE INFO_2023
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Last modified
1/18/2024 2:54:38 PM
Creation date
5/5/2023 2:53:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0535432
PE
2351
FACILITY_ID
FA0020431
FACILITY_NAME
COSTCO WHOLESALE #1091
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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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 794380-301 T1 Unleaded 87A Annular ® ❑ <br /> L2 794380-301 T2 Unleaded 87B Annular ® ❑ <br /> L3 794380-301 T3 Unleaded 91 Annular ® ❑ <br /> L4 794380-303 T4 Additive Annular ® ❑ <br /> L5 794380-304 T1 Unleaded 87A Turbine Sump Brine Sensor ® ❑ <br /> L6 794380-323/304 T1 Unleaded 87A (2-1) Fill Sump/Brine Sensor ® ❑ <br /> L7 794380-304 T2 Unleaded 87B Turbine Sump Brine Sensor ® ❑ <br /> L8 794380-323 Unleaded Tanks Vent Box Sump Sensor ® ❑ <br /> L9 794380-323/304 T2 Unleaded 87B (2-1) Fill Sump/Brine Sensor ® ❑ <br /> 1-10 794380-304 T3 Unleaded 91 Turbine Sump Brine Sensor ® ❑ <br /> L11 794380-323/304 T3 Unleaded 91 (2-1) Fill Sump/Brine Sensor ® ❑ <br /> L12 794380-304 Unleaded Tanks Vent Box Sump Brine Sensor ® ❑ <br /> L13 794380-323 T4 Additive Fill/STP Sump Sensor ® ❑ <br /> L14 794380-304 T4 Additive Fill/STP Sump Brine Sensor ® ❑ <br /> L15 794380-323 T4 Additive Vent Box Sump Sensor ® ❑ <br /> L16 794380-304 T4 Additive Vent Box Sump Brine Sensor ® ❑ <br /> L21 794380-323/304 Disp 01/02 UDC (2-1) Sump & Brine Sensor ® ❑ <br /> L22 794380-323/304 Disp 03/04 UDC (2-1) Sump & Brine Sensor ® ❑ <br /> L23 794380-323/304 Disp 05/06 UDC (2-1) Sump & Brine Sensor ® ❑ <br /> L24 794380-323/304 Disp 07/08 UDC (2-1) Sump & Brine Sensor ® ❑ <br /> L25 794380-323/304 Disp 09/10 UDC (2-1) Sump & Brine Sensor ® ❑ <br /> L26 794380-323/304 Disp 11/12 UDC (2-1) Sump & Brine Sensor ® ❑ <br /> L27 794380-323/304 Disp 13/14 UDC (2-1) Sump & Brine Sensor ® ❑ <br /> L28 794380-323/304 Disp 15/16 UDC (2-1) Sump & Brine Sensor ® ❑ <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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