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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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HARNEY
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2300 - Underground Storage Tank Program
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PR0543574
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/12/2022 4:20:35 PM
Creation date
2/10/2021 4:19:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0543574
PE
2351
FACILITY_ID
FA0024750
FACILITY_NAME
Harney Lane 76
STREET_NUMBER
141
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
141 E HARNEY LN
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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5. MONITORING SYSTEM AND PROGRAMMING <br />A separate Monitoring System Certification Form must be prepared for each control panel. <br />Make of Monitoring System <br />Model of Monitoring System <br />Software Version Installed <br />Control Panel <br />Control Panel <br />Veeder Root <br />TLS 350 <br />Attach the post -certification reports if the Monitoring System is capable of <br />generating either,- N Monitoring System Set -Up N Alarm History Report <br />Yes <br />No <br />NA <br />All monitoring equipment is operational per manufacturer's specifications? <br />® <br />❑ <br />Secondary containment systems are free of damage, debris, or liquid? <br />N <br />❑ <br />Are the audible and visual alarms operational? <br />® <br />❑ <br />All sensors have been: 1) visually inspected for wiring kinks, breaks and residual <br />buildup on floats; and 2) tested for functionality and confirmed operational? <br />® <br />❑ <br />Are all sensors installed to detect a release at the earliest opportunity in the <br />secondary containment? <br />N <br />❑ <br />❑ <br />The monitoring system setup was reviewed, and proper settings confirmed? <br />® <br />❑ <br />❑ <br />Was the monitoring control panel's backup battery visually inspected, <br />functionally tested, and confirmed operational? <br />❑ <br />❑ <br />❑ <br />Does the flow of fuel stop at the dispenser if a release is detected in the under - <br />dispenser containment? <br />N <br />❑ <br />❑ <br />Does the turbine automatically shut down if the piping secondary containment <br />monitoring system fails to operate or is electrically disconnected? <br />® <br />❑ <br />❑ <br />Does the turbine automatically shut down if the piping secondary containment <br />monitoring system detects a release? Which sensors initiate positive shutdown? <br />N <br />❑ <br />❑ <br />Check all that apply) N Sump N UDC <br />If monitoring system alarms are relayed to a remote monitoring center, is all <br />communication equipment operational? <br />❑ <br />❑ <br />Describe all answers marked `No"or `Fail"and proposed remedy in Section 9. <br />List a# Monitoring equipment either replaced or repaired in Section 9. <br />Page 2 of 6 <br />
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