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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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6732
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2300 - Underground Storage Tank Program
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PR0231830
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COMPLIANCE INFO
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Entry Properties
Last modified
7/6/2020 4:38:43 PM
Creation date
11/8/2018 9:59:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0231830
PE
2361
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\W\WATERLOO\6732\PR0231830\COMPLIANCE INFO.PDF
Tags
EHD - Public
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D. Results of Testing/serQ►ClIng <br /> Software Version Installed: <br /> fete the foliowin checklist: <br /> Fes ❑ No* Is the audible alarm nal? <br /> M Yes Q No Is the visual alarm oper ona? toss a con5rmeo° 'onal? <br /> BI Yes ❑ Nos Were all sensors visual ed containment M E positioned so that other equipment will <br /> i Yes Q Nos Were ail sensors installed at I°weSt point of secondary <br /> not interfere with tbeir ENE OT—M—t'—GlI2 <br /> Q Yes Q Nos If alarms are relayed to a remote monitoring stattmt, is all communications equipment (e.g. modem) <br /> 2 N/A operattotsal? secondary containment <br /> t7 Yes Q Nos For oressmved piping systems, does the turbme automatically shut down <br /> if the ptpmg <br /> ® NIA monitor system detects a leak fails xo operate, is electri y disconnecoed? If yes: which sensors initiate <br /> u positive shut-down? (Check all dud apply) Q SumPr reach Sensors; ❑Dispenser C°tnaIDment Sensors. <br /> I Did you confum itive sbu t-down due to Leaks d sensorsilurelaiscotmection? Q Yes, Q No. <br /> IQ <br /> Yes 10 No* ' For tank systems that udlize the monitoring system as the primary sank overfill warning device (i.e. no I <br /> prevention valve is installed}, is the overfill waetin alarm visible and audible at the tank Q <br /> N/A mechanical overfill o <br /> 611 int(s and If so at what t of r�k does site alarm er? /o <br /> C) Yes* i Ri No Was any monitoring equipment replaced? If yes,identify specific senors,Prob s or other equipment replaced <br /> and list the manufacturer name and model for all tavement in Section£,below. <br /> C Yes* 1) No Was liquid found inside any seco�ry containment systears designed as dry systems? {Check ati rhea <br /> Pr • Q Wates. if describe causes in Section E.below. <br /> 1(I Yes Q No* Was monitorin rystcnr <br /> ter_ rzviewed to ensure ?Attach set up if licable <br /> 10 Yes = Q No* I Is all monitorma intesit n?aufacturer's S2221'cauons? <br /> In Section E below,wescribe bow and when these deficiencies were or will be rrected_ <br /> E. Comments: f Q111 cri on pump gtox:Q <br /> OPW 1C 2100 Spill tubs <br /> First lake test on fill spill tubs had slight loss. Removed test medium, <br /> removed drain valves, cleaned drain valves and replaced. Retested fills ill <br /> tub <br /> Page 2 of 3 aarot <br />
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