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COMPLIANCE INFO_2021
Environmental Health - Public
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0506497
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COMPLIANCE INFO_2021
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Last modified
10/20/2021 11:33:53 AM
Creation date
5/26/2021 9:12:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0506497
PE
2351
FACILITY_ID
FA0007461
FACILITY_NAME
7-ELEVEN INC #14113
STREET_NUMBER
3040
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10027018
CURRENT_STATUS
01
SITE_LOCATION
3040 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 /> 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 l.D Sensor Model Component(s) Monitored Pass Fail <br /> S1 330020-464 87 PROD.LINE 0 ❑ <br /> S2 330020-464 87 STP-FILL SUMP 0 ❑ <br /> S3 330020-464 VAPOR-ALL UDC ® ❑ <br /> S4 330020-464 ALL VENT/VENT SUMP 0 ❑ <br /> S5 330020-464 91 PROD.LINE ❑ <br /> S6 330020-464 91 STP-FILL SUMP ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ n <br /> n <br /> ❑ n <br /> D n <br /> ❑ Q <br /> Q <br /> ❑ Q <br /> Describe aU 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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