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COMPLIANCE INFO_2019
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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PR0505746
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COMPLIANCE INFO_2019
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Last modified
11/22/2022 11:24:42 AM
Creation date
9/22/2020 12:08:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0505746
PE
2361
FACILITY_ID
FA0006977
FACILITY_NAME
76 EXPRESS TIGER NO 1
STREET_NUMBER
5777
Direction
S
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
19302037
CURRENT_STATUS
01
SITE_LOCATION
5777 S FRENCH CAMP RD
P_LOCATION
01
P_DISTRICT
001
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 a of 6) <br /> VIII . MONITORING SYSTEM AND PROGRAMMING <br /> FThissection 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 ? R ❑ I ❑ <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, ❑ ❑ <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? 0 ❑ ❑ <br /> Was the monitoring panel's backup battery visually inspected , functionally tested , and confirmed operational? Q ❑ ❑ <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? X❑ U ❑ <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.) ❑X Sump ❑ Under-Dispenser Containment rx <br /> j If alarms are relayed to a remote monitoring station, is all communications equipment (e .g . , modem) operational? El El Q <br /> j For any answer of "N" above, describe in Section IX how and when these deficiencies were or will be corrected. <br /> IX. COMMENTS <br /> E <br /> 6 <br /> I <br /> i <br /> 4 <br /> t <br /> X. IN -TANK GAUGING TESTING <br /> ❑X Check this box if tank gauging is used only for inventory control . (Do not complete this section.) <br /> ❑ Check 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? ❑ ❑ I ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ 1:1Were all probes reinstalled properly? ❑ El ED]Were all items on the equipment manufacturer's maintenance checklist completed? El ❑ <br /> For any answer of "N" above, describe in Section XI 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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