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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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JACK TONE
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1501
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2021
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Last modified
2/2/2022 12:53:04 PM
Creation date
5/12/2021 9:57:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
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 /> 6. SENSOR TESTING RESULTS <br /> List only sensors tested on date of this certification. List "Sensor ID"as labeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L-1 794380-303 Bio Annular 2 ❑ <br /> L-2 794380-208 Bio Fill Sump [2 ❑ <br /> L-3 794380-304 Bio Fill Hydro 10 ❑ <br /> L-4 794380-208 Bio TLM Sump 12 ❑ <br /> L-5 794380-304 Bio TLM Hydro 12 ❑ <br /> L-6 794380-208 Bio Piping Sump ❑ ❑ <br /> L-7 794380-304 Bio Piping Hydro ❑ <br /> L-8 794380-208 Bio Trans Sump N 1 ❑ <br /> L-9 794380-304 Bio Trans Hydro N ❑ <br /> L-10 794380-208 Bio Trans Sump S ❑ <br /> L-11 794380-304 Bio Trans Hydro S ❑ <br /> L-12 794380-208 Bio Vent Sump ❑ <br /> L-13 794380-304 Bio Vent Hydro ❑ <br /> L-14 794380-304 Bio Vent Line Hydro ❑ <br /> L-15 794380-208 Bio Shed Sump ❑ <br /> L-16 794380-304 Bio Shed Hydro ❑ <br /> ❑ ❑ <br /> ��S-j 330020-463/330020-464 B I o Product ❑ <br /> S-2 330020-463/330020-464 RV 19,20 Product ❑ <br /> S-3 330020-463/330020-464 UDC 21 -30 Product ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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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