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COMPLIANCE INFO 2003 - 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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PR0231706
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COMPLIANCE INFO 2003 - 2008
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Last modified
6/11/2019 11:42:03 AM
Creation date
4/10/2019 2:41:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2008
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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A Results of Testing/Servicin, <br />Software Version Installed: 7. 03 <br />Co plete the following checklist: <br />11,0 Yes I ❑ No* Is the audible alarm operational? <br />Yes I ❑ No* Is the visual alarm operational? <br />,Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? <br />/CJ r es U IN 0- <br />VV G1G G11 aG11aV1a Ula LaA— a. av , .o. F--.. .j ... ..,.... .........1 ... .. .., ... ,. ... ...i...r.... —.. ..... <br />not interfere with their proper operation? _ <br />❑ Yes ❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />N/A <br />operational? <br />Yes ❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />monitoring system detects a leak, fails to operat , or is electrically disconn ed? If yes: which sensors initiate <br />positive shut -down? (Check all that apply)/Sump/Trench Sensors; Prbispenser Co tainment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? Yes; ❑ No. <br />❑ Yes ❑ o* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />N/A <br />mechanical overfill prevention. valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />❑ Yes* No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply <br />❑ Product; ❑ Water. If yes, describe causes. in Section E, below. <br />Y�5 ❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />I[P�O`Yes I ❑ No* I Is all monitoring equipment operational per manufacturer's specifications? �I <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />
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