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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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w <br />MOO itoring System Certification <br />NOV I, 2013 <br />F. In -,Tank Ganging / SfR Eqj�jpnient; M Check this box if tank gauging T L <br />r I <br />0 Check this box if no tar& SIR Whipmei t 1! iiista 1� <br />gaui iro $1 U it WIS insta wl� <br />This section must be completed if in -tank gauging equipment is used to perform leak deteetion monitoring. <br />Complete the following checMt-. <br />Was accuracy of system product level readings tested? <br />W83 11c-MraCY Of System water level readings tested? <br />MEM <br />'Were Q items oil the equipment manufacturer's maintenance checklist completed? <br />21 <br />G. Line Leak Detectors (LLD): <br />Camnt.pto- tha _k—uu <br />H. Comments: I <br />Page 3 of 4 <br />Mw - 5/6 www-rxW4oc&org Rcv-011MV$ <br />Were all LL -Ds confirmed operational and accurate within regulatory requirements? <br />Was the testing apparatus properly calibrated? <br />for mechwical LLDs, —doe; die, LLD �re_stnctproduct f low- If —it d etects a leak? <br />Turvine automatfcalr� shut Olt if the LLD detects a leak? <br />Now <br />MW#Dff eRIMMIM W" "WRIT'P, 10-57,39 wo W&T ov*le mowtormg system is alsab <br />IL n-I;F Portion n"J <br />Ii <br />or disconnected? <br />y <br />or fails a test? <br />i For electronic LLDs, have all accessible Wiring connections been visually inspected? <br />1010 <br />ore all items On the equipment manufacturer's maintenance checklist completed? <br />ow"ff "S <br />H. Comments: I <br />Page 3 of 4 <br />Mw - 5/6 www-rxW4oc&org Rcv-011MV$ <br />
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