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COMPLIANCE INFO_2016-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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COMPLIANCE INFO_2016-2018
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Last modified
11/21/2023 1:46:26 PM
Creation date
11/7/2018 9:23:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2018
RECORD_ID
PR0231761
PE
2361
FACILITY_ID
FA0002347
FACILITY_NAME
ERNIES GENERAL STORE
STREET_NUMBER
4407
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710059
CURRENT_STATUS
01
SITE_LOCATION
4407 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WATERLOO\4407\PR0231761\COMPLIANCE INFO 2016-PRESENT .PDF
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EHD - Public
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0 <br />0 <br />F. In -Tank Gauging I SIR Equipment: ® Check this box if tank gauging is used only for i o if-` r, rr E D <br />❑ Check this box it no tank gauging or SIR equip d. FIVE: <br />This section must be completed I in -tank gauging equipment is used to perform leak detection monitoring. <br />Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />® <br />Complete the following checklist: <br />® Yes <br />❑ <br />No' <br />Has all input wining been inspected for proper entry and termination, including testing for ground faults? <br />® <br />Yes <br />❑ <br />No' <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />® <br />Yes <br />❑ <br />No" <br />Was accuracy of system product level readings tested? RUI-TH rWPAR <br />® <br />Yes <br />❑ <br />No- <br />Was accuracy of system water level readings tested? <br />® <br />Yes <br />❑ <br />No' <br />Were all probes reinstalled propedy? <br />® <br />Yes <br />❑ <br />No' <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />• ,_ <br />c -_v__ u <br />,._,�... <br />a........ <br />F., w..... n.A ...Aa.. eAeer ArCrr.nnrne wnro nr will I.n rnernrleA <br />Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />® <br />Yes <br />❑ <br />No' <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br />❑ <br />N/A <br />Simulated leak rate: ® 3 g.p.h.; [10.1 g.p.h ; ❑ 0.2 g.p.h. <br />® <br />Yes <br />❑ <br />No' <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />® <br />Yes <br />❑ <br />No' <br />Was the leading apparatus properly calibrated? <br />® <br />Yes <br />❑ <br />No' <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />® <br />N/A <br />❑ Yes <br />❑ <br />No' <br />For electronic LLDs, does the turbine automatically shut off N any portion of the monitoring system is disabled or disconnected? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />® <br />N/A <br />® <br />Yes <br />❑ <br />No` <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />In Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />JTAL <br />FNT <br />Monitoring System Certification Page 3 of 4 2/21/07 <br />
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