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COMPLIANCE INFO_2023
EnvironmentalHealth
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0506497
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COMPLIANCE INFO_2023
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Last modified
1/18/2024 10:33:28 AM
Creation date
8/3/2023 11:36:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0506497
PE
2351
FACILITY_ID
FA0007461
FACILITY_NAME
7-ELEVEN INC #14113
STREET_NUMBER
3040
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10027018
CURRENT_STATUS
01
SITE_LOCATION
3040 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
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!D" as labeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Madel Components) Monitored Pass Fail <br /> L1 794380-208 87 FILL RI Q <br /> L2 794380-208 87 STP ® Q <br /> L3 794380-303 87 ANNULAR Z Q <br /> L4 794380-208 91 FILL 0 El <br /> L5 794380-208 91 STP 0 M <br /> L6 794380-303 91 ANNULAR 0 0 <br /> L7 794380-208 VENT BOX El <br /> L8 794380-208 D1/2 0 <br /> L9 794380-208 D3/4 7 Q <br /> L10 794380-208 D5/6 0 Q <br /> L11 794380-208 D7/8 0 Li <br /> S1 330020-464 87 PROD VAC <br /> S2 330020-464 87 SUMPS VAC 0 Li <br /> S3 330020-464 VAPOR RECOVERY/UDCs VAC 0 2 <br /> S4 330020-464 VENTS VENT SUMP VAC z 0 <br /> S5 330020-464 91 PROD VAC ✓CzJ Q <br /> S6 330020-464 91 SUMPS VAC z Li <br /> 11 0 <br /> L) Li <br /> D D <br /> El D <br /> Lj Lj <br /> L1 Q <br /> El Q <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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