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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 /> 8. IN-TANK GAUGING TESTING <br /> ❑ Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if NO tank gauging equipment is installed. Yes No NA <br /> Do not complete this section if either box is checked. <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and ® ❑ ❑ <br /> termination; and 2 tested for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup ® ❑ ❑ <br /> to ensure that floats move freely, functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? ® ❑ ❑ <br /> Was accuracy of system's water level readings tested? ® ❑ ❑ <br /> Were all probes reinstalled properly? ® ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ® I ❑ ❑ <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> T1 87A Mag Plus T1 Unleaded 87A Tank ® ❑ <br /> T2 87B Mag Plus T2 Unleaded 87B Tank ® ❑ <br /> T3 91 Mag Plus T3 Unleaded 91 Tank ® ❑ <br /> T4 ADD Mag Plus T4 Additive Tank ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 9. COMMENTS <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> Page 6 of 6 <br />
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