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COMPLIANCE INFO_2017-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2017-2018
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Last modified
11/14/2023 2:06:26 PM
Creation date
6/3/2020 9:56:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2018
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
\MIGRATIONS3\Y\YOSEMITE\1777\PR0232397\RETROFIT PLAN 2017.PDF
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EHD - Public
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D. Results of Testing/Servicing <br /> Software Version Installed: 130.01 <br /> Complete the foilowing checklist: <br /> DYes D No' Is the audible alarm operational? <br /> es E]No' Is the visual alarm operational? <br /> J 7es 77T No' Were all sensors visually inspected,functionally tested,and confirmed o erational? <br /> WYes R No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> proper eration? <br /> LjYes No' If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> �/ N/A <br /> []YesNo' For pressurized piping systems, does the turbine automatically shut down 0 the piping secondary containment monitoring system <br /> HN/A Meets a leak,falls to operatg_gr is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check a/1 that app/y) <br /> t-5ump/Trench Senspptt� LJjispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor <br /> failure/disconnection? L-jir'es; go. <br /> J[JYes e No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention <br /> N/A 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 time alarm trigger? 90 % <br /> ./ es' Lj No 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 earls In Section E,below. <br /> es' -/ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appy) roduct; Ljwater. if <br /> es describe causes in Section E below. <br /> d es No' Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,If applicable <br /> =/ es No' is 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 /> Monitor Panel Battery Check:3.69 Volts. <br /> Monitor Panel Battery Replaced:( ]Yes[X]No "EIVED <br /> -Replaced overfill bulb. Customer supplied bulb. REU <br /> JUL 17 2018 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Monitoring System Certification Page 2 of 4 12107 <br />
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