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COMPLIANCE INFO_2021
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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PR0231470
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COMPLIANCE INFO_2021
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Last modified
12/22/2021 2:06:42 PM
Creation date
1/8/2021 2:27:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231470
PE
2361
FACILITY_ID
FA0003911
FACILITY_NAME
VAN DE POL ENTERPRISES INC
STREET_NUMBER
816
Direction
E
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102010
CURRENT_STATUS
01
SITE_LOCATION
816 E FRONTAGE RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />111 Check this box if tank gauging is used only for inventory control. <br />❑ Check this box if NO tank gauging equipment is installed. Yes No NA <br />Do not complete this section if either box is checked. <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and ❑ ❑ ❑ <br />termination; and 2 tested for ground faults? <br />Were all in -tank gauging probes visually inspected for damage and residue buildup ❑ ❑ ❑ <br />to ensure that floats move freelv, functionallv tested, and confirmed operational? <br />Was accuracy of system's product level readings tested? <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's water level readings tested? <br />❑ <br />❑ <br />❑ <br />Were all probes reinstalled properly? <br />❑ <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />I ❑ <br />❑ <br />❑ <br />Probe ID <br />Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />9. COMMENTS <br />Describe all answers marked "No" or "Fail" and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />Page 5 of 6 <br />
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