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COMPLIANCE INFO 2001-2010
Environmental Health - Public
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PR0231906
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COMPLIANCE INFO 2001-2010
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Last modified
9/8/2021 1:08:13 PM
Creation date
11/5/2018 3:42:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2010
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\420\PR0231906\COMPLIANCE INFO 2001-2010.PDF
QuestysFileName
COMPLIANCE INFO 2001-2010
QuestysRecordDate
5/19/2017 11:33:18 PM
QuestysRecordID
3391364
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Feb 0510 03:07p AFFORDATEST • 2094-0116 p.3 <br />1) Results of Testing/Servicing <br />Sormare Version Installed17.1 <br />rus Li No' <br />Is the audible alarm operalional7 <br />Yes ❑ No' <br />Is lie Yisual alarm aperat'onal7 <br />Yes ❑ INWere <br />all sensors v'sually inspected, funptionafy tested, and <br />Yas EI No. <br />Were all sensors installed at lowest point cf secondary <br />operatt ? poi <br />Yes ❑ No' <br />® N/A <br />If alarms ane relayed to a remote monitoring statgpis ail _p <br />Yes ❑ No' <br />❑ <br />Fo• pressurized piping systems, does the lu•bine automagcz <br />faits <br />NA <br />to Operate, or is electrically disconnected? if yes: wt <br />SenaOm; IN [Dispenser Conta'nmenl <br />Sensors. <br />[Did you commit positive Shut -dorm due to leaks ?nnd sensor I <br />Yes (3 No <br />® <br />For tank systems that utilize the monitcring system as the I <br />installed), <br />WA <br />is the overfill warning alarm visible and aucible at <br />Coes the alarm trigger? <br />❑ No <br />Was any mOnitof:ng equipment replace_? If yes, identify spy <br />and model for all replacement pans in Section E, befow. <br />Yes <br />ment and positioned so ;hat other equipment will not interfere with their proper <br />amcaficns equipment (e- )operational? <br />;ict down if the piping secondary containment rnoniloring system de Cts a leak, <br />sensors initiate positive shut -down? (Check. ell thal ayp) ®S mpnTmnch <br />re'dfsennnection? IS Yes; ❑ No, <br />ary tank overfill warning device (i e., no mechanical m2�Yll preven'on valve m <br />tank fid point(s) and operating property? If so, al wha: percent of is nk capacity <br />sensors, probes. or Other equipnent replaced and list the manufa jure, nave <br />Yes I❑ No Was liquid to Ini aside any secondary containment systems designed as dry systems? (Check au that apply) <br />1 ❑ Producl: 9 Wa:ec If yes, describe causes in Seclion E, below. <br />•--•••�• ••�� 4 P ayaem set-up reviewed ;o ensure proper settings? Attach se: <br />® Yes Q No' Is a I monitor in equipment operational per manufacturers speafcallons? <br />In Socbon E below, describe how and when these deficiencies were or will be contacted. <br />SITE HAS MINIMAL AMOUNTS OF H2O IN 3 SUMPS. WE REMOVED AND PLACED IN ON <br />E. comments: CNTMNT.. <br />Ml <br />
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