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COMPLIANCE INFO_2012-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231766
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COMPLIANCE INFO_2012-2015
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Last modified
10/25/2023 1:18:05 PM
Creation date
6/3/2020 9:53:09 AM
Metadata
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Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2015
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_2012-2015.tif
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EHD - Public
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tL <br /> D.Resullbs.of Testing/Servicing <br /> Software Version Installed: 329.01 JAS! 0 7 2 0 Ib <br /> Complete the following checklist: r"N �1_._ <br /> V!RC1)WA1 NT it I <br /> Yes r No* Is the audible alarm operational? <br /> I. Yes r No* Is the visual alarm operational? <br /> • Yes r No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Yes r No* Were all sensors installed <br /> =d at lowest point of secondarycontainment and positioned so that other equipment will not interfere with <br /> their prope r oper <br /> Yes r No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> G N/A <br /> ro Yes r No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check <br /> r N/A all that applyJ7,Sump/Trench Sensors; V Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?ro Yes; r No <br /> • Yes r No- For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill <br /> prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> 0 N/A ;o'Lat what percent of tank capacity does the alarm trigger?% <br /> • Yes. G No as any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> nanufacturer name and model for all replacement parts in Section E,below. <br /> • Yes* G No as liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> E Product; r—Water.If yes,describe causes in Section E,below. <br /> Yes No* as monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> 6_2 <br /> r, Yes r No* lIs all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E.Comments: <br /> Monitoring System Certification Page 2 of 3 12/07 <br />
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