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COMPLIANCE INFO_2001-2009
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2001-2009
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Last modified
12/28/2023 11:29:54 AM
Creation date
6/3/2020 9:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2009
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2001-2009.tif
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EHD - Public
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Facility Name: Mossdale Arco 0 <br />D. Results of Testing/Servicing <br />Software Version Installed: 18.01 <br />ComDlete the following checklist: <br />0 (Page 2) <br />Yes <br />❑ No* <br />Is the audible alarm o2erational? <br />[0 Yes <br />❑ No* <br />Is the visual alarm 22erational? <br />0 Yes <br />❑ No*_ <br />Is the 2rint function operational? El Not installed. <br />Z Yes <br />❑ No* <br />Were all sensors visually insEected, functional) y tested, and confirmed operational? <br />Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation? <br />❑ Yes <br />❑ 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 <br />❑ 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 operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (Check all that apply) JE Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? 0 Yes; ❑ No. <br />❑ Yes <br />❑ No* <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 22erating properly? If so, at what percent of tank capacity does the alarm trigEr? <br />❑ Yes* <br />Z 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 E21acement 2arts in Section E, below. <br />❑ Yes* <br />0 No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />I <br />❑ Product; ❑ Water. If yes, describe causes in Section E, below. <br />No* <br />Was monitoEing gLtern set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />No* I <br />Is all monitori29 au.i ment o2erational 2er manufacturer's, specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />
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