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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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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0506497
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COMPLIANCE INFO_2019
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Last modified
10/28/2020 4:03:21 PM
Creation date
9/22/2020 2:46:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0506497
PE
2351
FACILITY_ID
FA0007461
FACILITY_NAME
7-ELEVEN INC #14113
STREET_NUMBER
3040
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10027018
CURRENT_STATUS
01
SITE_LOCATION
3040 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page ', 4 of 6) <br /> Vlll . 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 ? r <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats r r <br /> move freely , functionally tested , and confirmed operational ? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not W r r <br /> interfere with their proper operation ? <br /> Was monitoring system set-up reviewed to ensure proper settings ? ry r r <br /> Was the monitoring panel's backup battery visually inspected , functionally tested , and confirmed operational ? 177I- r <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? 1✓ r r <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is r r r <br /> electrically disconnected ? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? r r r <br /> Which sensors initiate positive shut down? (Check all that app ) W" Sump W,. Under4s enser containment <br /> If alarms are relayed to a remote monitoring station , is all communications equipment (e . g , modem) operational ? 1yo r r <br /> For any answer of "N above, describe in section IX how and when these deficiencies were or will be corrected. <br /> IX COMMENTS <br /> Use this section to provide any additional comments about the inventory of the equipment certified. <br /> X. IN-TANK GAUGING TESTING <br /> Iq Check this box if tank gauging is used only for inventory control . (Do not complete this section. ) <br /> r 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 1V r r <br /> testing for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, r r r <br /> functionally tested , and confirmed operational? <br /> Was accuracy of system' s product level readings tested ? r r r <br /> Was accuracy of system' s water level readings tested ? r r r <br /> Were all probes reinstalled properly? r r r <br /> Were all items on the equipment manufacturer' s maintenance checklist completed ? 1V r r <br /> For any answer of "N " above, describe in section XI how and when these deficiencies were or will be corrected. <br /> XIv COMMENTS <br /> Use this section to provide any additional comments about the inventory of the equipment certified. <br /> Y = Yes , N = No , NA = Not Applicable <br /> i <br /> 1 <br /> I <br />
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