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COMPLIANCE INFO_2023
EnvironmentalHealth
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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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Entry Properties
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 /> 7. LINE LEAK DETECTOR TESTING <br /> LJ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> Simulated release rate verified: (Check all: that apply.) Yes No NA <br /> A 3 GPH EJ 0.1 GPH El 0.2 GPH <br /> Has the testing apparatus been properly calibrated? A ❑ LJ <br /> For emergency generator tank systems, does the LLD create an audible and visual ❑ ❑ <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flaw through the pipe when a A ❑ ❑ <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is ❑ ❑ ❑ <br /> detected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ <br /> monitoring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ <br /> mon itorirg system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected ❑ 0 ❑ <br /> for kinks and breaks? <br /> Were all items an the equipment manufacturer's maintenance checklist completed? 0 ❑ ❑ <br /> Were all LLDs confirmed operational within regulatory requirements? � ❑ ❑ <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> T1 Vaporless LD-2000 87 RI Li <br /> T2 Vaporless LD-2000 91 0 Ij <br /> Ll Q <br /> ElL1 L <br /> Q <br /> j <br /> ❑ ❑ <br /> Ll L <br /> Q Q <br /> Describe all answers marked "No"or"Fail'and proposer!remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired irr Section 9 <br /> Page 4 of 6 <br />
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