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COMPLIANCE INFO 1994 - 2010
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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PR0231841
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COMPLIANCE INFO 1994 - 2010
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Last modified
7/12/2019 5:29:19 PM
Creation date
7/12/2019 2:17:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1994 - 2010
RECORD_ID
PR0231841
PE
2361
FACILITY_ID
FA0000556
FACILITY_NAME
CHEROKEE LANE SERVICE STATION*
STREET_NUMBER
900
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742007
CURRENT_STATUS
01
SITE_LOCATION
900 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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F. In-rank Ganging/SII .Equiph.ent: ❑ Check this box if tank gauging is used only for inventory control. <br /> Check this box if no tank gauin)or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Co <br /> let followin checklist: <br /> No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> o* Was accuracy of system product level readings tested?o* Was accuracy of system water level readings tested? <br /> o* Were all probes reinstalled properly? <br /> o* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com tete the folio ing checklist: <br /> Yes ❑ No* I For equipment start-up or annual equipme t certification, was a leak simulated to verify LLD performance? <br /> LlN/A (Check all that apply) Simulated leak rate: k3 g.p.h.; ❑ 0.1 g.p.h; ❑0.2 g.p.h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> 11 <br /> ❑ Yes Q No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> �j N/A or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> N/A or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 <br /> 03101 <br />
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