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COMPLIANCE INFO_2020
Environmental Health - Public
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THORNTON
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2300 - Underground Storage Tank Program
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PR0517272
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/28/2020 10:52:09 AM
Creation date
7/10/2020 2:19:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0517272
PE
2361
FACILITY_ID
FA0012979
FACILITY_NAME
FLYING J TRAVEL PLAZA #617
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
02519014
CURRENT_STATUS
01
SITE_LOCATION
15237 N Thornton Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Pilot/ruling .d Lodi A 11 Veewc;' Rgoolt #2 <br /> L"MAYORS IIIF OF SOUTHERN CALIFOMA Daily LOS- <br /> TM—c—mi^--i--n--g Check <br /> Form <br /> i3ev-0811\`C420YJf10 <br /> Date t. • <br /> 1 -40m-ft ❑pm iren OK -®"All bulbs ligtIt i Pf ivter works „IaAFb -❑On-going alarm(s;f �� <br /> 2 $em ❑pm ,Siren OK JM1 bulbs light . 4ftterworks AFI��* `❑On going�amt(s;• <br /> 3 pain ❑ prn iren OK 13-M bulbs lig ht E-�Ft(nter works pAnr ❑On-going alarms• <br /> 4 ❑ am Afrpm 123iren OK ' RrAll bulbs light nnter works GMFFL ❑On-going aarm(s% <br /> 5 V,4m ❑ pm jfiim OK _ ill.bulbs light utter works 454W ❑On-going alann(s l <br /> 6 y ❑ am A5-pm siren OK' I11 bulbs light 1 linter works E19W ❑On-going alanm(s', <br /> 7 thin ❑ pm PRmn OK . I bulbs lig ht Vttnter works tAW -❑On-gang alann(s• '2C2 <br /> 8 ❑ pm pl Siran OK ' C,;I,'Ad!-b_ulbs light +ir}terworks W- ❑Ongoing alarm(s;• - - <br /> 9 ❑am n OK . bulbs light ;L' Ftrintel works ,MAFPI` _❑Ongoing alarms,,y - <br /> 10 ❑ am ren OK , bulbs light n'Ael•works 13WW _❑On-going alarm(s'• - <br /> 11m light �al•wor ks- _1199kR# -_©On-g �;, _-- <br /> 12 ❑ am rn OK:_ ^lbs light ter works A " ❑On-going alarms• <br /> 13 .8-arn ❑ prn iren OK;, TAA bulbs light Winter works _,tor-AFW ❑On-going alarms,,, - -- - <br /> 14 D-amr ❑ prn n OK...CHIT bulbs light , Printer works l' ❑On going alarrrt(s <br /> 15 13 .Exam ❑ pm .H"Siren OK .ill bulbs light JZ+_Rrinter works 6AFt+I` _❑On-gang alarrn(s;. 4-1 <br /> 16 Z am ❑ pm Siren OK ,,EMI bulbs light- -'Printer works -)4W _❑On-going alaml(s;. r-- - <br /> 17 .Clam ❑ pm siren OK EMl bulbs light -Printer works .0'ftW _❑On-going alarms:. <br /> 18 ,0'am ❑ pm Miren OK - TAI bulbs light -Printer works .0-ARr -_❑On-going alarm(s;• <br /> 19 X10 m ❑ pm .Miren OK ,f"AII bulbs light .'Printer works 4 AW ❑On-going alarm(s;, _ �-- <br /> 20 ❑ pm `Siren OK J"AII bulbs light ,.CC-'Printer works jkARr ❑On-going aanm(s; <br /> 21 ❑ am A-pm OK . e 11 bulbs light Printer works r ❑On-going alanm(s; --_- _- <br /> 22 <Xum ❑ pm Inert OK . SIF bulbs light printer works _ ❑On-going alarm(s;. <br /> 23 am OK . _bs light_ �_gn -works ❑On-gang alarrn(s;. <br /> 24 ❑ am ❑ pm ❑Siren OK . ❑Al bulbs light El Printer works ❑ARr ❑On-cuing alarms:, <br /> 25 ❑am ❑ pm ❑Siren OK . ❑Al bulbs light El Printer works ❑AFNr ❑On-gang alarms,'. <br /> 26 ❑am ❑pm ❑Sian OK . ❑All bulbs tight C1_Printer works ❑AFw �❑On-going alarm(s;. <br /> 27 ❑am ❑pm ❑Siren OK' ❑Al bulbs light Cj Printer works ❑AFW _❑On-going alarm(s;. <br /> 28 ❑ am ❑pm ❑Siren OK . ❑Al bulbs light Printer works ❑AFW _❑On-going alarm(s;. �- <br /> 29 ❑ am ❑pm ❑Siren OK ❑Al bulbs light Cj Printer works ❑ARr ❑On-going alarm(s;. <br /> 30 ❑am ❑pm 0 Siren OK ❑Al bulbs light 111 Printer works ❑ARr ❑On-going alarms,, <br /> 31 ❑am ❑pm 0 Siren OK ❑Al bulbs light El Printer works ❑ARr ❑On-going alarm(s',. <br /> `AFN=ALL FUNCTIONS NORMAL(no current alarms) <br /> Instructions:Press the alarm test button on,the UST monitoring system(MS)and record the results under the"[rally Moniftfng Systam Test Results"colurrrn. If there are no current alarms,c Teck the <br /> "AFM box. If an alarm is occurring at the time of the dally MS test,chock the".Orr-gulag Alarm(s)"box and recon the sensor ID(s)and the alarm panel screeri reading(s)under the Wo Iuwm-screen <br /> Roadse'coljjvnn Complete the separate LIST Systern Alarm Resmjg L-a-4 lbr each MS environmental alarm noted alt alarms ex e :"Pa r Out"or`Fuer DI;Bvent Needed").Only a trined"Facility <br /> Employee'should complete this form or the Alarm Response Log.Ther FE should initial each entry made Into this form using the last column. <br />
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