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COMPLIANCE INFO_2008-2012
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2008-2012
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Last modified
8/12/2021 11:12:52 AM
Creation date
6/23/2020 6:49:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2012
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2008-2012.tif
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EHD - Public
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Monitoring System Certification <br /> F. In-Tank Gauging/SIR Equipment: 9 Check this box if tank gauging is used only for inventory control. <br /> 0 Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> 13 Yes 0 No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> El Yes [3 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> • Yes 0 No* Was accuracy of system product level readings tested? <br /> • Yes 0 No* Was accuracy of system water level readings tested? <br /> • Yes 0 No* Were all probes reinstalled properly? <br /> 13 Yes Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): 0 Check this box if LLDs are not installed. <br /> Com late the foilawing checklist; <br /> 0 Yes [I No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> 0 N/A (Check all that apply) Simulated leak rate: 9 3 g.p.h.; C3 0.1 g,p.h; 0 0.2 B.p.h, <br /> 0 Yes 0 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 0 Yes E3 No* Was the testing apparatus properly calibrated? <br /> —No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> El N/A <br /> [j Yes 17 No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 0 NIA <br /> F1 Yes [3 No* For electronic LLDs,does the turbine automatically shut off if any portion ofthe monitoring system is disabled <br /> M N/A or disconnected? <br /> 0 Yes F1 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> 9 NIA or fails a test? <br /> 0 Yes 0 No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> 0 Yes El No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *To Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments; <br /> Page 3 of 4 <br /> UN-036—S/6 wvvw.unidoes.org Rev.01/17/U <br />
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