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COMPLIANCE INFO_1997-2006
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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PR0231766
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COMPLIANCE INFO_1997-2006
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Last modified
12/20/2023 3:52:47 PM
Creation date
6/3/2020 9:53:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1997-2006
RECORD_ID
PR0231766
PE
2361
FACILITY_ID
FA0003717
FACILITY_NAME
CHEVRON STATION #99840*
STREET_NUMBER
4344
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95215
APN
10102156
CURRENT_STATUS
01
SITE_LOCATION
4344 E Waterloo Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231766_4344 E WATERLOO_1997-2006.tif
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EHD - Public
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• <br /> US QUIPMENT MONITORING L <br /> Facility Number: Chevron Station# Month/Year <br /> Equipment: VEEDER-ROOT TLS-350 <br /> Equipment Alarm Status <br /> Date Operational? O.K.? Comments Initials <br /> 01 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 02 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 03 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 04 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 05 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 06 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 07 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 08 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 09 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 10 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 11 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 12 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 13 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 14 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 15 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 16 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 17 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 18 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 19 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 20 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 21 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 22 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 23 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 24 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 25 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 26 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 27 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 28 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 29 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 30 Yes ❑ No ❑ Yes ❑ No ❑ <br /> 31 Yes ❑ No ❑ Yes ❑ No ❑ <br /> O In the case of alarms,(audible alerts,warning and alarm system lights),system failure,tear off the Alarm Condition <br /> Report printout from your monitoring system and document the alarm condition under the appropriate category listed <br /> above.Using the Suspected Leak Activity Log,track your activities until"All Functions Normal"is displayed on the <br /> monitoring system console.Retain all alarm condition,test reports and repair work orders related to each alarm. <br /> O File the completed log with the UST Inventory Reconciliation Logs in the"Underground Storage Tank"Section of your <br /> station's Retail Facili Compliance Workbook <br /> Chevron Review(Name/Signature) Date: <br />
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