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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
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_2013-2018.tif
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EHD - Public
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Mar, 21. 2016 9:33AM No.2450P. 4 <br />M6vitoripsystem Urtaication 0 0 <br />F. In -Tank Ganging / SIR Equipment: 0 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 />0 Yes <br />[3 No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />0 No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />19 Yes <br />0 No* <br />Was accuracy of system product level readings tested? <br />• Yes <br />0 No* <br />Was accuracy of system water level readings tested? <br />• Yes <br />Cl No* <br />Were all probes reinstalled properly? <br />—i —Yes <br />0 No* <br />Were all items on the equipment manufacturer's maintenance checklist <br />In The Section H, below, describe how and when these defloencles were or win De conectea, <br />MAR 2 12010" <br />G. Line Leak Detectors (LLD): [j Check this box if LLDs are not installed. <br />EN91HONmE_NTA[. <br />0 Yes <br />0 No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check <br />0 N/A <br />all that apply) Simulated leak rate; 0 3 g.p.h.; E3 0.1 g.p.h ; 0 0.2 g.p.h. <br />0 Yes <br />0 No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />9 Yes <br />El No", <br />Was the testing apparatus properly calibrated? <br />0 Yes <br />F1 No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />0 N/A <br />Z Yes <br />U No" <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />0 NIA <br />0 Yes <br />[] No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />0 NIA <br />disconnected? <br />9 Yes <br />0 No*- <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />[I N/A <br />or falls a test? <br />0 Yes <br />0 No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />0 N/A <br />0 Yes <br />0 No* <br />I Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H, below, describe how and wheat these deficiencies were or wilt be corrector. <br />
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