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COMPLIANCE INFO_2020
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231074
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COMPLIANCE INFO_2020
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Last modified
5/7/2021 12:50:49 PM
Creation date
5/15/2020 4:19:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231074
PE
2351
FACILITY_ID
FA0002541
FACILITY_NAME
7-ELEVEN INC #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11002003
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />lJ Check this box if tank gauging is used only for inventory control. <br />LJ Check this box if NO tank gauging equipment is installed. <br />Do not complete this section if either box is checked. <br />Yes <br />No <br />NA <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination; and 2 tested for ground faults? <br />® <br />lj <br />U <br />Were all in -tank gauging probes visually inspected for damage and residue buildup <br />to ensure that floats move freely, funGtionally tested, and confirmed operational? <br />® <br />li <br />Lj <br />Was accuracy of system's product level readings tested? <br />0 <br />D <br />0 <br />Was accuracy of system's water level readings tested? <br />® <br />A <br />Li <br />Were all probes reinstalled properly? <br />® <br />lj <br />Lj <br />Were all items on the equipment manufactures maintenance checklist completed? <br />®2 <br />1 El <br />Probe ID <br />Probe Model Tanks Monitored <br />Pass <br />Fail <br />87 <br />847390-110 regular <br />91 <br />847390-110 supreme <br />diesel <br />847390-110 diesel <br />® <br />Ll <br />L) <br />U <br />Ll <br />Ll <br />Ll <br />Ll <br />9. COMMENTS <br />Describe all answers marked "No" or "Fail' and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />Page 5 of 6 <br />
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