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COMPLIANCE INFO_1992-2001
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231309
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COMPLIANCE INFO_1992-2001
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Last modified
8/12/2022 2:04:30 PM
Creation date
6/23/2020 6:45:42 PM
Metadata
Fields
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EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1992-2001
RECORD_ID
PR0231309
PE
2361
FACILITY_ID
FA0003756
FACILITY_NAME
KISHIDA, GEORGE INC
STREET_NUMBER
1725
STREET_NAME
ACKERMAN
STREET_TYPE
DR
City
LODI
Zip
95240
APN
06219001
CURRENT_STATUS
01
SITE_LOCATION
1725 ACKERMAN DR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231309_1725 ACKERMAN_1992-2001.tif
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EHD - Public
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General Instructions Instructions for Equipment Testing and Certification <br />1. Equipment that monitors undergroun orage tank systems containing hazardous m Is must be tested/serviced <br />annually, or on a schedule specified by the manufacturer, whichever is more frequent. <br />2. This certification form must be used to document the following activities: 1.) Periodic testing as described above; 2.) <br />Testing of new monitoring systems upon installation; 3.) Testing of replacement sensors, probes, or other system; <br />and 4.) Testing of repaired sensors, probes, or other system components. <br />3. As noted on Page 1, a separate certification form must be completed for each individual monitoring system control panel <br />For example: If one control panel monitors in -tank gauging probes and another panel monitors electronic line leak detectors, <br />two certification forms are required. <br />4. Except in the case of emergency repairs, many local agencies require that a permit be obtained prior to installing new <br />monitoring systems or components(i.e. installation of new or different equipment, rather than using parts identical to those <br />replaced). Check with your local agency for their requirements before starting work. <br />Section B <br />1. In the Tank ID sections, describe which tanks you worked on (e.g. Diesel Tank, North Tank, Middle Tank). <br />2. For compartmental tanks, list each compartment as a separate tank. <br />3. Where "Model' is asked for, the name of the manufacturer and the manufacturer's specific model name or number, <br />as referenced in the "List of Leak Detection Equipment and Methods for Underground Storage Tanks" (i.e. LG -113) must be <br />specified. <br />4. Hands-on functional testing of individual leak detection components to confirm operability to manufacturer's specifications <br />and state regulations is required. This includes verifying and mechanical or electronic automatic shut-off features(e.g. <br />dispenser floats and chains). In the case of sensors that can not be non-destructively tested, contact you local agency <br />that regulates UST systems to see if they will approve alternate testing methods(e.g. testing of representative samples). <br />Section C <br />1. Certification must be made by a licensed and certified technician as per 23 CCR <br />2. All work associated with testing/servicing of equipment must be performed by or under the direct supervision of the <br />certifying technician. <br />Section D <br />1. When testing operability of positive turbine shut down, you must; 1.) Verify shut -down by simulating a leak; and 2.) <br />Verify shut -down by disconnecting the sensor. <br />Attachments <br />1. Site Plan - You must attach a drawing showing the general layout of tanks and piping. Clearly identify locations of the <br />following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, <br />dispenser pans, spill containers, and other secondary containment areas; mechanical or electronic line leak detectors; <br />and in -tank liquid level probes(if used for leak detection). Note the date the Site Plan was prepared. <br />2. System Set -Up Report - If the monitoring system or diagnostic equipment used in testing is capable of generating <br />a hard -copy report describing system set-up, you must include a copy of the report with this Certification. <br />3. Alarm History Report - If the monitoring system is capable of generating a hard -copy alarm history report, you must <br />include a copy of the report with this Certification. Relevant alarms that should appear in this report include overfill, <br />high water, and leak detection equipment related alarms. This should be printed before you test any sensors. <br />05/00 <br />
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