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COMPLIANCE INFO_2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0537919
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COMPLIANCE INFO_2019
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Last modified
11/30/2022 8:54:32 AM
Creation date
9/16/2020 11:08:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0537919
PE
2351
FACILITY_ID
FA0021886
FACILITY_NAME
Love's Travel Stop #538
STREET_NUMBER
15250
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
15250 N THORNTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 4 of 6) <br /> VIII . MONITORING SYSTEM AND PROGRAMMING <br /> This section must be completed if a monitoring panel is used to perform leak detection monitoring. Y N NA <br /> Are the visual and audible alarms operational ? 0 ❑ ❑ <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, N El ❑ <br /> functionally tested , and confirmed operational? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br /> their proper operation? <br /> Was monitoring system set-up reviewed to ensure proper settings? ❑X ❑ El <br /> Was the monitoring panel's backup battery visually inspected , functionally tested , and confirmed operational? FX] 901 ❑ <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? QX ❑ ❑ <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically 0 ❑ ❑ <br /> disconnected ? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? ❑ ❑ <br /> Which sensors initiate positive shut down? (Check all that apply.) 0 Sump 0 Under-Dispenser Containment <br /> If alarms are relayed to a remote monitoring station , is all communications equipment (e.g . , modem) operational? ❑ ❑X <br /> For any answer of "N" above, describe in Section 1X how and when these deficiencies were or will be corrected. <br /> IX. COMMENTS <br /> i <br /> I <br /> i <br /> z <br /> X. IN -TANK GAUGING TESTING <br /> ❑ Check this box if tank gauging is used only for inventory control. (Do not complete this section.) <br /> F1Check this box if NO tank gauging equipment is installed . (Do not complete this section.) Y N NA <br /> This section must be completed if in-tank gauging is used to perform leak detection monitoring. <br /> Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination , including testing for ❑ ❑ <br /> round faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally ❑ ❑ <br /> tested , and confirmed operational? <br /> Was accuracy of system's product level readings tested ? Q ❑ ❑ <br /> Was accuracy of system's water level readings tested? Q ❑ ❑ <br /> Were all probes reinstalled properly? FX I ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? Q I ❑ ❑ <br /> For any answer of "N" above, describe in Section Xl how and when these deficiencies were or will be corrected. <br /> XI . COMMENTS <br /> Y = Yes, N = No, NA = Not Applicable <br />
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