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COMPLIANCE INFO_2006 - 2008
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0526212
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COMPLIANCE INFO_2006 - 2008
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Last modified
9/7/2018 2:32:22 PM
Creation date
9/7/2018 2:01:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO_2006 - 2008
FileName_PostFix
2006 - 2008
RECORD_ID
PR0526212
PE
2351
FACILITY_ID
FA0017737
FACILITY_NAME
CHEVRON STATION #307709*
STREET_NUMBER
10858
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602015
CURRENT_STATUS
01
SITE_LOCATION
10858 TRINITY PKWY
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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Monitoring System Certification <br />Site Address: 10858 TRINITY PKWY Date of Testing/Service: 12/28/2007 <br />F. In -Tank Gauging / SIR Equipment <br />❑ Check this box if tank gauging is used only for inventory control. <br />❑ Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />Complete the following checklist: <br />❑ Yes <br />❑No ' <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ Yes <br />❑No <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes <br />❑ No ' <br />Was accuracy of system product level readings tested? <br />❑Yes <br />❑No' <br />Was accuracy of system water level readings tested? <br />171 Yes <br />❑No ` <br />Were all probes reinstalled properly? <br />❑ Yes <br />❑ No ` <br />Were all items on the equipment manufacturers' maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD) : ❑ Check this box if LLDs are not installed. <br />Complete the following checklist: <br />❑ Yes <br />❑ No <br />❑N/A <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />(Check all that apply) Simulated leak rate: ❑ 3 g.p.h ❑ 0.1 g.p.h ❑0.2 g.p.h <br />Yes <br />❑ No ' <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />❑No' <br />Was the testing apparatus properly calibrated? <br />❑ Yes <br />❑ No ` <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product Flow if it detects a leak? <br />❑ Yes <br />❑No ` <br />❑ N/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />❑No ' <br />❑ N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />❑ Yes <br />❑No ' <br />❑ N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />❑ Yes <br />❑No ` <br />❑ N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ Yes <br />DN. ` <br />Were all items on the equipment manufacturers' maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />Replaced and tested S7 smart sensor. ONLY Tested O.K. <br />Page 3 of 3 Based on CA form dated 03/01 <br />
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