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COMPLIANCE INFO_2024
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EHD Program Facility Records by Street Name
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2800 - Aboveground Petroleum Storage Program
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PR0515721
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COMPLIANCE INFO_2024
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Last modified
8/13/2024 10:48:58 AM
Creation date
7/30/2024 12:51:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0515721
PE
2832
FACILITY_ID
FA0007101
FACILITY_NAME
FORWARD INC LANDFILL
STREET_NUMBER
9999
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106003
CURRENT_STATUS
01
SITE_LOCATION
9999 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Are all valves free of leaks,corrosion and other <br /> damage? Follow manufacturers' instructions for <br /> regular maintenance of these items. Check the <br /> following and verify(as applicable): ID <br /> ❑Anti-siphon valve ❑Yes ❑No ❑N/A 1V `� R Ps1�,, CP�.4G� . <br /> 16 ❑Check valve j9yes ❑No ❑N/A <br /> ❑Gale valve ❑Yes K40 El NIA <br /> ❑ Pressure regulator valve ❑Yes [:]No El NIA <br /> ❑ Expansion relief valve L+�Yes ❑No ❑N/A <br /> ❑Solenoid valve <br /> ❑ Fire valve Yes ❑No El N/A <br /> ❑Shear valve ❑Yes ❑No RN/A <br /> 17 Are strainers and filters clean and in good condition? %Yes ❑NO ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? []Yes ❑NO ISN/A <br /> 18 Insulation free of visible signs of damage? <br /> Insulation adequately protected from water intrusion? <br /> 19 Insulation free of noticeable areas of moisture? ❑Yes ❑NO NN/A <br /> 20 Insulation free of mold? L1 Yes ❑NO EWA <br /> 21 Free of visible signs of coating failure? ❑Yes ❑NO 54N/A <br /> ank 1 Piping Kelease Uetection <br /> 22 Is inventory control being performed and documented El Yes ❑NO ®N/A Ft L1, p1SrW5SP-- %h F&6 CoN`fA1 W�.D Vv%-r1,)lty <br /> if required? Ply-'r-V LbNTA)NM <br /> 23 Is release detection being performed and documented , Yes ❑No ❑N/A <br /> if required? <br /> Other Equipment <br /> 24 Are electrical wiring and boxes in good condition? 9Yes ❑No ❑N/A <br /> Has the cathodic protection system on ❑Yes ❑NO V/A oN ed: NGR•rr"frr— F%ZP <br /> 25 the tank been tested as required by <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />
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