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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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WATERLOO
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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
Scanner
KBlackwell
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EHD - Public
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Oct 19 10 12:08p Elite TV Contactors 120946lg342 p.4 <br />D. Results of Testing,,Servicing <br />�j � <br />Software Version installed: `' /5, <br />complete the <br />tonawm <br />cnec+u¢n. <br />0 Yes <br />No' <br />Is the audible alarm operational? <br />0 Yes <br />J No' <br />Is the visual alarm operational? <br />0 Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />�i Yes <br />D No' <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />Yes <br />D No' <br />proper operation? <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />1(vD <br />D NIA <br />4 Yes <br />D No' <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />3 N/A <br />detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) <br />P SumplTrench Sensors; 0 Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor <br />failureldisconnection? D;Yes; D No. <br />r' Yes <br />� No' <br />For tank systems that utilize the montoring system as the primary tank overfill warning device (Le. no mechanical overfill prevention <br />U N/A <br />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 trigger'? <br />C Yes' <br />0 No <br />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 arts in Section E, below. <br />Yes' <br />❑ No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) E Product; Vllater. If <br />es, describe causes in Section E, below. <br />t� Yes <br />C No' <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />E No' <br />fs all monitoring equipment operational per manufacturer's specifications? <br />' In Section E below, describe how and when these oeticlencies were or will ne corre-uu. <br />E. Comments: <br />! f <br />P`� f Z• h-� ! -1 .l lrtit rf ✓ci f: iT" +� R'i:, h� ✓� . _ <br />Monitoring System Certification Page 2 of 4 12/07 <br />2 2/21107 <br />
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