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COMPLIANCE INFO_2006-2010
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0516248
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COMPLIANCE INFO_2006-2010
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Last modified
10/19/2023 3:40:58 PM
Creation date
6/3/2020 10:00:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2010
RECORD_ID
PR0516248
PE
2361
FACILITY_ID
FA0012532
FACILITY_NAME
CHEVRON STATION #209167
STREET_NUMBER
1234
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120016
CURRENT_STATUS
01
SITE_LOCATION
1234 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0516248_1234 E YOSEMITE_2006-2010.tif
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EHD - Public
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Work Order: 2272586 <br /> Amok <br /> (f:SO) (BSV)Tc-stingForm-Version I-10113P2009 <br /> Emc rgency Shut Off t'r.'SO) & <br /> Dispenser Eemergency Shutoff Valve (ESV) <br /> ANNUAL TEST RECORD LOCATIONS AND TEST DATA <br /> TAINKNOLOGY <br /> I <br /> 1 Company: Date: <br /> 0-Location Name: Store#: State ID <br /> Address:: &R3Y city: State: <br /> I-V_Az 4 <br /> Emerzengy Shut Off(ES())Testing RWilts <br /> 1-05).doe',from Retail Compliance <br /> On �z 3- )U .in accordance witIt"ESO Vendor Letter(3-2 <br /> Department,as a part of annual compliance testing,this representative tested the Emergency Shut Off <br /> (ESO)switches indicated on thil sketch.Findinp listed below: <br /> Emergency Shut Off(ES If No,ProvideOperationaI7 Y Maintenance Log# Date Called <br /> Dispenser Emergency S ittoff Valve (ESV) TestingResults <br /> On --�p—"3;--10 in accordance tli'NFPA 30A this representative tested the automatic-closing feature <br /> of the Dispenser Emergency Sh4toff'VALVE(S)(ESV)located in the supply lines at tbLc base of each <br /> individual island type dispenser indi,mted on the diagram below.Each device in all, <br /> would automatically close. F n In -,listed below: <br /> wisp.Emergency Shut Off vide <br /> If No,Pro <br /> Valve(ESV)Operational? Yj NMaintenance Log eCalled: <br /> d <br /> Of hocatim�4nd Fla=mt ofiloi4s Tes ed: <br /> �►K <br /> LA <br /> Ai <br /> U< <br /> 1 <br /> Signature Of Representative:, <br /> I i <br /> Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 <br />
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