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COMPLIANCE INFO_2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0506724
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COMPLIANCE INFO_2019
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Last modified
9/22/2020 5:12:39 PM
Creation date
9/22/2020 4:12:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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Facility Employee Training Page 2 of 2 <br /> All facility employees have received the required on-the job training within the past year. X <br /> All facility employees hired within the past 30 days have received the required on the job training . X <br /> Monthly Inspection β <br /> Y N NA Date Done <br /> Monitoring system certification (within past 12 months) X 6-21 - 17 <br /> Spill Bucket testing completed (within past 12 months) X 6-21 - 17 <br /> Leak Detector-mechanical/electronic for most sites (within past 12 months) X 6 -2147 <br /> The above are usually clone together on an animal basis for local regulator. <br /> Line Tightness (usually upon construction or when no positive shutdown) X <br /> Tank Tightness (Usually only after construction or when using SIR) X <br /> Secondary containment (S13989) tests have been completed (usually every 3 years) X 12/27/ 17 <br /> Other testing or maintenance completed cis required List them below: <br /> Test/Maintenance : <br /> Test/Maintenance : <br /> 'fest/Maintenance: <br /> PRINTOUT INCLUDED : Yes ® No β NAβ PRINTOUT LEFT ON SITE: ® BINDER UP TO DATE : <br /> Comments : SITE CLEAN AND DRY AT TIME OF INSPECTION- Air Done today - Postponed EH <br /> Items Requiring Follow-up Actions : <br /> Monthly inspection must be conducted by an ICC licensed Designated Operator. <br /> A copy of this checklist must be provided to UST owner or operator, but not to State Water Resources. <br /> Designator Operator must alert the UST owner or operator of any condition discovered during the monthly <br /> inspection that may require that may require follow-up action . <br /> UST owner or operator must maintain a copy of this monthly inspection and any attachments for the previous <br /> 12 months . Records must be maintained on- site or, if approved by the local agency, off-site at a readily <br /> available location. <br /> 99/79/75 <br />
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