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COMPLIANCE INFO_2013 - 2018
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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PR0231136
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COMPLIANCE INFO_2013 - 2018
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Entry Properties
Last modified
12/18/2023 1:43:23 PM
Creation date
11/1/2018 4:00:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2018
RECORD_ID
PR0231136
PE
2361
FACILITY_ID
FA0003610
FACILITY_NAME
A&A GAS & FOOD MART
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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KBlackwell
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EHD - Public
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t yat ;. ♦'•At "' _!tt .N, f' J J` � , , , , • .• JA,�, tnfi tii_��11 �wf n� 'r •t'� • r 1 , } r• ♦J,�yh� <br />N f• I }� + n, Jh trf 1 ., t "h�9`�ti ati f I 1 i 1 1. y, •P . •'�^j_ <br />, 9 <br />0,1/02/1995 03:27 2; 17546722 cALAvERAS ENv FCALTH PAGE 03 <br />" SAf ,itce.;�e System,CerttAc�tJect t ' <br />' - •Facility Name: '� •� G.� ,�s< of i cau0g,:xcvJ�iag: �/�/ %� , <br />F. In -Tank Gauging Egnlj at rat: 0 Check this box if tank gauging is used oat y for inventory control, <br />r <br />"finis section must be comple.i d if in -tank gauging equipment is used to perform leak detection monitoring. <br />Software Version lo=Hc&- <br />Complete the foUowltaIt checkliv:: <br />�u s <br />Yes 0 No* Has an iapui v <br />Ycs <br />Q No' <br />Were all tank ;a <br />Ja' Yes <br />C1 No' <br />Was accuracy A <br />Yes <br />o• <br />Wert: ac=6» 5 if <br />Yes <br />EY No' <br />Were an &W-1 t: <br />or Yes <br />Q Nam <br />Were au iter; o: <br />iag been inspected for proper entry and tesrnination, including testing for grourA faults? <br />aging probes visually inspected for damage 2nd residue buildup? <br />rystctn product/wastc level readings tasted? <br />symtnwater level readings tested? <br />activated and did they function properly? <br />i. the equipmenty=ufac=mr's raainmmAnce checklist completed? I <br />la the Secdon I3, brJow, descril) how and when these deficiencies were or will be corrected_ <br />G. Line LeA Detectors (U 3 I: Q Chcck this box if LLDs are not imuiled. <br />Complete the Wowing tbtdclist:c <br />Yrs <br />C1 No• <br />Was a leak sic sal <br />Simulated lt31 r2 <br />Yes <br />Wear all LLT..)- cJ <br />0 No' <br />PO,Y_Cs <br />was the tcstiit; A <br />0 tufo- <br />O Yes <br />O No, <br />For m=banir.ii I <br />jd N/A <br />Yes <br />_ <br />For electronic 1 <br />Q No' <br />© N/A <br />Yes <br />0 No' <br />For ciccQvMi7 1 <br />❑ WJE <br />or d'tscom,=a}:. ? <br />Yes <br />For electranic L <br />D No' <br />Q N/A <br />=iftmctions c f <br />Yes <br />For r-kct rank L <br />-❑ No` <br />Yes <br />❑ No' <br />Q N/AJ,Wr <br />If necessary to u' <br />❑ No' I <br />Xes <br />_ <br />Wcre ail itcMi .a <br />s <br />toed to verify LLD perfo=Ancc? (Check all thar apply) <br />rt: @'3 S -p -h.; Q 0-2 S -p -h-; ❑ 0.2 g -p -h <br />infirswd operational and accurate with= regulatory Mquinttucnrs? <br />V=Uus properly calibrated? <br />LDs, docs the LLD rrstricr product flow if it detects a leak? <br />docs the turbine automaticagy shut off if the LLD dctccts a leak? <br />Ds, docs the turbine autornaticany shut off if any portion of the monitoring system is disabled <br />1LDs, docs tate nabinc automatically shut off if any portion of the tnanimting system <br />Jiffs a test? <br />lh• have all acc=ibie wiring connections been visually utspected? <br />:per egniprnrmt operation, arc fuel filters in good condition? <br />the equipmcut manufactwer's maintenance checklist completed? <br />" In the Section $, below, deserf c �ttw and when these deficiencies were or will be corrected. <br />H. Comments: <br />CALM -at <br />Page 3 <br />,79""M <br />q'd 2bE9T9fr60ZT SJOgOequo0 AI aIT13 dTO:2T ET Le 4a3 <br />
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