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COMPLIANCE INFO_2009-2012
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231074
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COMPLIANCE INFO_2009-2012
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Last modified
3/1/2023 11:20:58 AM
Creation date
6/23/2020 6:41:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2012
RECORD_ID
PR0231074
PE
2361
FACILITY_ID
FA0002541
FACILITY_NAME
7-ELEVEN INC #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11002003
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231074_4627 DA VINCI_2009-2012.tif
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EHD - Public
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Work Order: 2273082 <br /> Ah <br /> W <br /> (ESO)&MSV)Twing F(min-Verdin I.12Nr.01* <br /> Emez.- en,%,-,y, Sh <br /> .7 Hut <br /> DispenserEmer gency Shutoff Valve (ESS <br /> ANNUAL TEST RECORD LOCATIONS AND TEST DATA <br /> TeStIT19-- _TTX_N_KN0L0GY <br /> Coat pany- <br /> LLOCation Naine: Store 0- <br /> Addrvss; <br /> J 'Aw city. 122�q� State: J, <br /> A 1 <br /> EmergenEj Sbut,Off(ESQ) Testing Results <br /> On iQI,.I 1,0 .in accordance with"ESO Vendor Letter(3-21-05).doc",from Retail ComRljance <br /> Departtn=L as a part of annual wmpliance testing,this representative tested the Emergency Shut Off <br /> �ESO switches indicated on this sketch. FindiRgs listed below: <br /> F=rgmcy Shut 0 ff(FSO) - If No,Provide <br /> Operational? (Y)N L Maintenance Log# Aate Called <br /> Dispenser Emergency Shutoff Valve,LESV) Testing Results <br /> Ond�-.IZ-Ih. inn accordance with NFPA 30A this representative tested the automatic-closing feature <br /> of the Dispenser Emergency Shutoff VALVE(S) (ESV)located in the supply lines at t b=of each <br /> individual island type dispenser indicated on the diagram below. Each device,(N) in all, <br /> would automatically close. Findings listed below: <br /> Lisp.Emergency 7 If No,Provide <br /> Shut Off T <br /> Valve(esv)opmtioml Maintenance Los#7 Date Called: <br /> SiteNlapOfLoa (in ond Plauemerst of Devices Tested: <br /> Vat <br /> A� <br /> QQ <br /> All <br /> P L- 00 (J-7 A_,X � I I t <br /> V F AN-vulAk, <br /> 'P,A Vwq pn4vr" <br /> Sirest <br /> Azature-QfRep qAtive:. ... <br /> Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 <br />
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