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COMPLIANCE INFO_1991-2008
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232519
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COMPLIANCE INFO_1991-2008
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Last modified
9/6/2024 11:37:26 AM
Creation date
6/3/2020 9:57:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1991-2008
RECORD_ID
PR0232519
PE
2361
FACILITY_ID
FA0000483
FACILITY_NAME
BILLS 76
STREET_NUMBER
633
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04321055
CURRENT_STATUS
01
SITE_LOCATION
633 E VICTOR RD STE A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232519_633 E VICTOR_1991-2008.tif
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EHD - Public
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D. Cs ofTesfing/ServicinjQ <br /> -Software VersionInstalled: <br /> Complete the fo o nP checklist: <br /> VIAYes No* Is the audible operational? <br /> No* Is the vis a o onal? <br /> U No* Wereall sensors visuall ed, II t ed, ccsnfir ed o rational? <br /> CJ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro r o ration? <br /> 0 Yes If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> NIA operational? <br /> C3 Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> 0 N/A 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) U Sump/Trench Sensors; U Dispenser Containment Sensors. <br /> Did you confirm p2sitive to 1failure/disconnection? C]Yes; C3 No. <br /> 13 Yes Ll No* For systems that utilize the monitoring � as the primary tank overfill warning device (i.e. no <br /> 12 N/A mechanical overfill prevention valve is installed), is the overfUl w&ming alarm visible and audible at the tank <br /> fill s d o roper If so,at seat pexrent of tank capacity does the alarm trigger? % <br /> C Yes* No Was any monitoring m t replaced? If yes, ' specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> Cl Yes* JRL No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)O <br /> Product; 0 Water. If yes,describe causes in Section E,below. <br /> YvsLl No* <br /> l Yes No* ito su reviewed Attach re rts,if a licable <br /> Is all monito ui ent m ees s ifi 'ons?Was ma <br /> *in Section E below,describe how and when these deficiencies were or will be corrected. <br /> R � <br /> E. Co ents• t� r� z r� a <br /> �- 73 <br /> Page 2 of 3 03[01 <br />
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