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COMPLIANCE INFO_2023
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0529124
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COMPLIANCE INFO_2023
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Last modified
1/18/2024 2:51:14 PM
Creation date
9/19/2023 2:01:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0529124
PE
2351
FACILITY_ID
FA0019437
FACILITY_NAME
ARCO am/pm # 83230
STREET_NUMBER
1340
Direction
W
STREET_NAME
COLONY
STREET_TYPE
Rd
City
Ripon
Zip
95366
APN
261-590-110-000
CURRENT_STATUS
01
SITE_LOCATION
1340 W Colony Rd
P_LOCATION
05
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 programming. <br /> Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L25 794380-304 DIESEL STP SUMP BRINE x ❑ <br /> L26 794380-208 DIESEL STP SUMP x ❑ <br /> L27 794380-304 DIESEL FILL SUMP BRINE x ❑ <br /> L28 794380-208 DIESEL FILL SUMP x ❑ <br /> L29 794380-304 VENT BOX BRINE X ❑ <br /> L30 794380-208 VENT BOX X ❑ <br /> L31 794380-303 87 ANNULAR X ❑ <br /> L32 794380-303 91/DIESEL SPLIT-TANK ANNULAR X ❑ <br /> S9 332175-001 87 PRODUCT VAC X ❑ <br /> S10 332175-001 91 PRODUCT VAC X ❑ <br /> S11 332175-001 DIESEL PRODUCT VAC X ❑ <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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