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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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Monitoring System Certification <br />D. -Results of Testing/Servicing <br />Software Version Installed: <br />0=100 <br />■ <br />■ <br />■ <br />f:+ <br />X11 ■ <br />Is the audible alarm. operational? <br />Is the visual alarm operational? <br />Were all sensors visually inspeeted,.fuacctionally tested, and consumed o ional? <br />Were all sensors installed at lowest point of secondary containment and positioned 'so that other equipment will <br />not interfere with their proper operation? <br />if alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br />operational? <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? if yes: -which sensors initiate <br />positive shut -down? (Check all that apply) ® Sumpl'french Sensors; ® Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ® Yes; ® No. <br />For tank systems that utilize the monitoring system as the primary tank ovez£tll warning device (i.e., no <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the inanufacbmw name and model for all replacement parts iji Section E, below. <br />Wasliquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />0 product; 0 Water. if yes, describe causes in Section IJ, below. <br />`]pias monitoring systeixi set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* in Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />ENVIRONMENTAL HEALTH <br />UN -036 — 316 www•unidemorg lieu. 01/17108 <br />
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