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COMPLIANCE INFO_2007-2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231801
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COMPLIANCE INFO_2007-2011
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Last modified
11/9/2022 9:10:07 AM
Creation date
6/23/2020 6:52:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2011
RECORD_ID
PR0231801
PE
2361
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304-9334
APN
25318004
CURRENT_STATUS
01
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231801_34243 S CHRISMAN_2007-2011.tif
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EHD - Public
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D. Results of Testing/Ser%dcing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> 0 Yes C No" Is the audible alarm of ietionaf? <br /> 0 Yes 0 No- Is the visual alarm op,: dirinal? <br /> Yes ❑ No' Were aif sensors vista i'spected,functionally tested,and confirmed operafionat? <br /> Yes 0 NW Were ail sensors insta -d at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> Proper operation? <br /> Yes 0 No' If alarms are relayed ni i remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> 0 N/A <br /> Yes 0 NFor <br /> 0 N/A <br /> pressurized piping systems,does the turbine automatically shut down If the piping secondary containment monitoring system <br /> d tects a leak,fails to c eiYv <br /> r is electrically disconnected? if yes:which sensors initiate positive shut-down? (Check all that apply) <br /> SumplTrerxh Ser, Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor <br /> weisconnection?r No. <br /> n Yes n No" For tank systems th r i -Ew the monitoring system as the primary tank overfill warning device(i.e.no mechanicai overfill prevention <br /> j� N/A valve is installed),ib the 3verfilf warning alarm visible and audible at the tank fill point(s)and operating property? If so,at what percent <br /> of tank ca it does I.i a arm tri ? % <br /> Yes` O No I Was any monitoring! ,a uipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br /> manufacturer name an., nodel for all replacement parts in Section E below. <br /> 0 Yes• No Was liquid found inside- ny secondary containmtent systems designed as dry systems? (Check all that apply)0 Product, 0 Water. if <br /> s,describe causes it ec tion E,below. <br /> Yes ❑ No' Was monitoring system A.up reviewed to ensure proper settings?Attach setup reports,if applicable <br /> Yes U NW Is all monitoring equipm. it aperational per manufacturer's specifications? <br /> "to Section E below,describe how and when tfiese deficiencies were or will be corrected. <br /> E. Comments= <br /> Monitoring System Certification Page 2 of 4 12/07 <br /> 2 2/21/47 <br /> z 'd 2iP69 T 9fr6Oa T s.1040eIu03 AI 84113 e9 T =LO IT 92 .add <br />
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