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COMPLIANCE INFO_2005-2007
Environmental Health - Public
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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2005-2007
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Last modified
7/28/2021 1:40:04 PM
Creation date
6/23/2020 6:56:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2007
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2005-2007.tif
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EHD - Public
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Monitoring System Certification 10 <br /> Site Address: 1501 N. JACK TONE RD Date of Testing/Service: 05/31/2007 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 317.02 <br /> Complete the following checklist: <br /> ❑X Yes ❑No* Is the audible alarm operational? <br /> Q Yes ❑No* Is the visual alarm operational? <br /> El Yes L1 No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> [fl Yes ❑No* interfere with their proper operation? <br /> ❑ Yes ❑No* X N/A If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> Yes [—]No* N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) ❑X Sump/Trench Sensors; ❑X Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 Yes ❑No <br /> Yes [:]No* ❑X N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(Le.:no mechanical <br /> overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating <br /> properly? If so,at what percent of tank capacity does the alarm trigger? 0/0 <br /> Yes* F-1 No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> Yes* QX No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> f ❑ Water. If yes,describe causes in Section E,below. <br /> X Yes No* Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. <br /> Q Yes No. Is all monitoring equipment operational per manufacturers'specifications? <br /> "In Section E below,describe how and when these deficiences were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 Based on CA form dated 03/01 <br />
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