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COMPLIANCE INFO_2011-2013
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2011-2013
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Last modified
3/8/2021 3:02:45 PM
Creation date
6/23/2020 6:43:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2013
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231125_1210 E HAMMER_2011-2013.tif
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EHD - Public
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W.O.# NW1-2308868 <br />3. TANK TEST SETUP <br />(single wall & double wall systems) <br />LaSt 0.2 9ph Last 0.1 gph Comments.. . <br />Massed Passed . <br />1 ank fest .. <br />Last 3.0 9ph 1:ast 0:2 gF <br />Conk # . <br />Disabi0d <br />Pawed "' Pissed <br />Y/N <br />foetal. tpatel, <br />the <br />C <br />Mnua! ATG GeAifitah-- (May 2613)MOCK <br />$tore <br />Last 0.1. gph <br />Passed . Con rants <br />irs�t <br />4. LINP_ 8 t9! or. our kausy!c rvan vcv.,,,,«....,.....:._._.-._ <br />Line Test , <br />Line # Disabled Product <br />Ylt+l <br />Last -3.0 gph . <br />Passed <br />ryau) <br />LaSt 0.2 9ph Last 0.1 gph Comments.. . <br />Massed Passed . <br />(Attach the Print Out) <br />5. ELECTRONIC LINE LEAK DETECTORS (ELLD) - Simulated Leak (verify sY$tem shuts down at a 3.0 gpm leak) <br />(Attacn the rnnt uusj <br />1. is the "Time' and "Date" correct?0YE6 NOif No, then enter the correct "Date„ <br />and/or `Time". <br />2. is the ATG/Leak Detection system connected to the Alarm Pa [ } NO <br />Is Central Monitoring (800-964-2219) receiving the Alarms? Y ] NO <br />3. Is the electronic overfill alarm (90%) working as programmed? [ [] NO <br />Indicate Type: [ ] Internal (on TLS ie) [ i External (siren / light at tanks) <br />Is the external alarm working? YE [ NO <br />4. is an Output Relay module present in the ATG Console (Power Bay)? [ (1.'.0""" � � NO <br />S. Is the Output Relay module wired to the ST€'s? [ j YES 1 NO <br />
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