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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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PR0516248
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COMPLIANCE INFO_2021
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Last modified
2/23/2023 12:28:26 PM
Creation date
1/22/2021 2:20:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0516248
PE
2361
FACILITY_ID
FA0012532
FACILITY_NAME
CHEVRON STATION #209167
STREET_NUMBER
1234
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120016
CURRENT_STATUS
01
SITE_LOCATION
1234 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
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 /> B. 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 /> L1 794380-209 91 STP 0 0 <br /> L2 794380-209 87 STP z 0 <br /> L3 794390-409 91 ANNULAR Z 0 <br /> L4 794390-409 87 ANNULAR ® El <br /> L5 794380-208 D1/2 0 El <br /> L6 794380-208 D3/4 0 El <br /> L7 794380-208 D5/6 Ij <br /> L8 794380-208 D7/8 Ij <br /> L9 794380-208 D9/10 0 Lj <br /> L10 794380-208 D1 1/12 ® Lj <br /> Li Lj <br /> Lj Ij <br /> Li Ij <br /> Li Ij <br /> ® 11 <br /> Ej 11 <br /> El 11 <br /> Ll 11 <br /> Ll 11 <br /> Ll 11 <br /> E] 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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