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COMPLIANCE INFO 2010 - 2013
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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PR0231760
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COMPLIANCE INFO 2010 - 2013
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Last modified
8/19/2019 4:52:21 PM
Creation date
8/19/2019 4:16:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2013
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Nov 04 10 07:33a Elite -V Contactors 120946"z342 p.3 <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Cnmolptp the fnlinwinn nhartrriet- <br />0 NIA <br />Yes ❑ No' For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring. system <br />❑ N/A detects a leak, fails to operate. or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) <br />V Sumprrrench Sensors; 'R Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor <br />failure/disconnection? Yes; ❑ No- <br />n Yes C No' For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />/y�' N/A valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm tri qer? % <br />❑ Yes' No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br />manufacturer name and model for all replacement pars in Section E, below, <br />Yes- ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) C Product; J Water. If <br />yes, describe causes in Section E, below. <br />Yes ❑ No' Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes U No' is alt monitoring equipment operational per manufacturer's specifications? 11 <br />' In Section E below, describe how and when these deficiencies were or will be corrected <br />E. Comments: <br />72 �3%U <br />Monitoring System Certification Page 2 of 4 12/07 <br />2/21/07 <br />No' <br />Is the audible alarm operational? <br />No' <br />Is the visual alarm operational? <br />99yes <br />❑ No' <br />Wereall sensors visually inspected, functionally tested, and confirmed operational? <br />❑ No' <br />7 No' <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />roper oDeration? <br />If alarms are rplavpd to a remote mon8nrinn staticn ;c nn , roe; ns a im oro re . ..,4-1 �: o <br />0 NIA <br />Yes ❑ No' For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring. system <br />❑ N/A detects a leak, fails to operate. or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) <br />V Sumprrrench Sensors; 'R Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor <br />failure/disconnection? Yes; ❑ No- <br />n Yes C No' For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />/y�' N/A valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm tri qer? % <br />❑ Yes' No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br />manufacturer name and model for all replacement pars in Section E, below, <br />Yes- ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) C Product; J Water. If <br />yes, describe causes in Section E, below. <br />Yes ❑ No' Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes U No' is alt monitoring equipment operational per manufacturer's specifications? 11 <br />' In Section E below, describe how and when these deficiencies were or will be corrected <br />E. Comments: <br />72 �3%U <br />Monitoring System Certification Page 2 of 4 12/07 <br />2/21/07 <br />
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