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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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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 /> S9 332117 T1 Unleaded 87A Product Line Vacuum ® ❑ <br /> S10 332117 T1 Unleaded 87A Vapor Line Vacuum ® ❑ <br /> S11 332117 T1 Unleaded 87A Vent Line Vacuum ® ❑ <br /> S12 332117 T2 Unleaded 87B Product Line Vacuum ® ❑ <br /> S13 332117 T2 Unleaded 87B Syphon Line Vacuum ® ❑ <br /> S14 332117 T2 Unleaded 87B Vent Line Vacuum ® ❑ <br /> S17 332117 T3 Unleaded 91 Product Line Vacuum ® ❑ <br /> S18 332117 T3 Unleaded 91 Vent Line Vacuum ® ❑ <br /> S19 857080-112 T1 87A Turbine Sump Mag Sensor ® ❑ <br /> S21 857080-112 T2 87B Turbine Sump Mag Sensor ® ❑ <br /> S22 857080-112 T3 91 Turbine Sump Mag Sensor ® ❑ <br /> S23 332117 T4 Additive Product Line Vacuum ® ❑ <br /> S24 332117 T4 Additive Vent Line Vacuum ® ❑ <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 all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />
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