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COMPLIANCE INFO_2013-2016
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2013-2016
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Entry Properties
Last modified
10/18/2023 9:06:11 AM
Creation date
6/3/2020 9:56:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2016
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\1777\PR0232397\MODIFICATION APPROVAL PLAN 2014.PDF
QuestysFileName
MODIFICATION APPROVAL PLAN 2014
QuestysRecordDate
11/16/2016 4:57:02 PM
QuestysRecordID
3258884
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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D. Results ofTesting/ServIcing <br />Software Version Installed: 130.01 <br />Comnlete tha following chockllst- <br />v <br />DYes <br />No" <br />is the audible alarm operational? <br />[Ayes <br />❑ No' <br />Is the visual alarm operational? <br />d es <br />71 No" <br />Were all sensors visually inspected, functionally tested, and confirmed erational? <br />E./yes <br />D No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />proper operation? <br />Lyes <br />No' <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />NIA <br />[]Yes <br />No' <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />.� N/Aects <br />8 <br />a leak, fails to operatq—gr is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply] <br />ump!Trench SensL,J�ispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor <br />nes; <br />failure/disconnection? L ; o. <br />[]Yes( <br />j No' <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />a NIA <br />valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm tr' er? 90 V. <br />es' <br />v No <br />Was any monitoring equipment replaced? if yes, identify specific sensors, probes, or other equipment replaced and list the <br />manufacturer name and model for all replacement pails in Section E, below. <br />es' <br />1-/1 No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) roduct; ater. If <br />es describe causes in Section E below. <br />wives <br />No' <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />I <br />b/ es I <br />Lj No" <br />Is all monitoring equipment operational per manufacturer's specifications? <br />- in section c oeiow, oescnoe now anti wren tnese aencrencies were or wnr oe correcieti. <br />E. Comments - <br />Monitor Panel Battery Check: 3.69 Volts. <br />Monitor Panel Battery Replaced: [ ]Yes [X] No <br />9 <br />Monitoring System Certification Page 2 of 4 12107 <br />
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