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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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F. In-Tank Gauging/SIR Equipment. V, Check this boy if tank gauging is used only for•inventory control. <br /> Q Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the folio ing checklist: <br /> 0 Yes Q No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> Ll Yes Q No* Were all tank gauging probes visually inspected for damage andresiduebuildup? <br /> Ll Yes Ll No* Was accuracy of system product level readings tested? <br /> U Yes U No* Was accuracy of system water level readings tested? <br /> U Yes U No* Were all probes reinstalled properly? <br /> D Yes,.-e I U No* I Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): Q Ch this box if LLDs are not in—stalled. <br /> Complete the follo ing checklist: )711K <br /> U Yes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> U N/A (Check all that apply) Simulated leak rate: L13 g.p.h.; Ll 0.1 g.p.h; 0 0.2 g.p.h. <br /> Ll Yes Q No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> i7 �4 <br /> w,, <br /> L3 Yes I U No* Was the testing apparatus properly calibrated? <br /> 0 Yes Q No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> U N/A <br /> Q Yes Ll No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> Ll N/A I <br /> Ll Yes Q No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> Q N/A or disconnected? <br /> 0 Yes L3 No* For electronic LLDs,does the turbine automatically shut off, if any portion of the monitoring system malfunctions <br /> L3 N/A or fails a test? <br /> U Yes 13 No* For electronic LLDs,have I ve all accessible wiring connections been visually inspected? <br /> Q N/A <br /> if 0 Yes Ll No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 03/01 <br />
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