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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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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231952
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COMPLIANCE INFO_2021
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Last modified
9/19/2022 4:18:32 PM
Creation date
1/8/2021 2:33:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231952
PE
2351
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
01
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
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 <br /> 5. SENSOR TESTING RESULTS <br /> List only sensors fested on date of this certification. List"Sensor ID"as labeled in system <br /> programming. Additional copies of this page maybe attached to accommodate all sensors tested. <br /> sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> S18 847990-001 Dsl fill 0 0 <br /> S19 847990-001 All vents z 0 <br /> S20 847990-001 Vrall udc Z Ll <br /> El El <br /> Ll El <br /> El El <br /> El <br /> El <br /> • Ll <br /> • Ll <br /> Lj Ll <br /> Lj L) <br /> U L) <br /> U L) <br /> ® 11 <br /> Ej 11 <br /> El 11 <br /> Ll 11 <br /> Ll 11 <br /> Ll 11 <br /> U 11 <br /> Li El <br /> L1 0 <br /> Describe all answers marked "No"or"Fail'and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />
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