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COMPLIANCE INFO_2020
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231760
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COMPLIANCE INFO_2020
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Last modified
11/10/2020 11:46:47 AM
Creation date
6/11/2020 4:50:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 4 of 6) <br /> V111 . MONITORING SYSTEM AND PROGRAMMING <br /> This section must be completed if a monitoring panel is used to perform leak detection monitoring. Y N NA <br /> Are the visual and audible alarms operational? ❑X ❑ ❑ <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, ❑ ❑ ❑ <br /> functionally tested , and confirmed operational? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with X ❑ n <br /> their proper operation? <br /> Was monitoring system set-up reviewed to ensure proper settings ? 0 ❑ ❑ <br /> Was the monitoring panel's backup battery visually inspected , functionally tested , and confirmed operational? 0 ❑ ❑ <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? X❑ ❑ ❑ <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically ❑ ❑ <br /> disconnected? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? ❑ ❑ <br /> Which sensors initiate positive shut down? (Check all that apply.) 0 Sump ❑X Under-Dispenser Containment <br /> If alarms are relayed to a remote monitoring station, is all communications equipment (e .g . , modem) operational? ❑ ❑ ❑X <br /> For any answer of "M' above, describe in Section IX how and when these deficiencies were or will be corrected. <br /> IX. COMMENTS <br /> X. IN -TANK GAUGING TESTING <br /> ❑X Check this box if tank gauging is used only for inventory control . (Do not complete this section.) <br /> ❑ Check this box if NO tank gauging equipment is installed . (Do not complete this section.) JY 7NNA <br /> This section must be completed if in-tank gauging is used to perform leak detection monitoring. <br /> Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination , including testing for El ❑ ❑ <br /> round faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally ❑ ❑ ❑ <br /> tested , and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ I ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed ? ❑ I ❑ I ❑ <br /> For any answer of "N" above, describe in Section XI how and when these deficiencies were or will be corrected. <br /> XI . COMMENTS <br /> Y = Yes, N = No, NA = Not Applicable <br />
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