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COMPLIANCE INFO_FILE 12
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231945
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COMPLIANCE INFO_FILE 12
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Last modified
11/30/2022 4:43:06 PM
Creation date
6/3/2020 9:55:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
FILE 12
RECORD_ID
PR0231945
PE
2361
FACILITY_ID
FA0003934
FACILITY_NAME
Lawrence Livermore National Lab - Site 300
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231945_15999 W CORRAL HOLLOW_FILE 12.tif
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EHD - Public
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OCT-13-2805 11:28 CENTRAL PETROLEUM MAINT 9254628352 P.O3 <br /> Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the followin checklist: <br /> it Yes 13 Nos Is the audible alarm o erational? <br /> 51 Yes 1 ❑ No* Is the visual*alarm operational? <br /> Yes I ® Now I Were all sensors visually inspected,functionally tested and eonfirrned o erational? <br /> Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro er operation? <br /> El Yes ❑ Nos If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A opeeational? <br /> Yes Nos For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ® NIA 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) n"fSump/Trench Sensors; Q Dispenser Containment Sensors_ <br /> Did you confirm p2sitive shut-down due to leaks and sensor failurc/disconnection? JQ Yes. ®No. <br /> ❑ Yes Q Now For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> `� N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oint s and o statin ra erl If so at what percent of tank ca aci docs the alarm triMr? % <br /> LI Yes* No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaccd <br /> and list the manufacturer name and model for all replacement Earts in Section E,below. <br /> ❑ Yes* It No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0 <br /> Product; ®Water. If yes,describe causes in Section E,below. <br /> Yes ❑ No* Was monitorin s stem set-u reviewed to ensure pro-per settings?Attach set up reports,if applicable <br /> Yes ❑ No* Is all monitoring a ui=14 operationAl er manufacturer's specifications? <br /> n Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments- <br /> UN-036-214 Page 2 of 3 Rev.0610001 <br /> www.unidomerg <br />
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