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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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PR0518738
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COMPLIANCE INFO_2021
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Last modified
9/7/2021 9:58:45 AM
Creation date
5/26/2021 2:41:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0518738
PE
2361
FACILITY_ID
FA0014111
FACILITY_NAME
CHEVRON STATION #212470/2222
STREET_NUMBER
3400
STREET_NAME
MACARTHUR
STREET_TYPE
DR
City
TRACY
Zip
95376
APN
21306016
CURRENT_STATUS
01
SITE_LOCATION
3400 MACARTHUR DR
P_LOCATION
03
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 /> 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 maybe attached to accommodate all sensors tested. <br /> Sensor 1D Sensor Model Component(s) Monitored Pass Fail <br /> L1 SUPER-DSL TANK ANN. ® U <br /> L2 SUPER STP SUMP ® 0 <br /> L3 SUPER FILL SUMP ® Lj <br /> L4 REG.TANK ANN. ® Lj <br /> L5 REG.STP SUMP ® Li <br /> L6 REG.FILL SUMP ® Lj <br /> L7 DSL STP SUMP ® Lj <br /> L8 DSL FILL SUMP ® Ll <br /> L9 VENT BOX SUMP ® L) <br /> L10 UlZjHN.1-2 <br /> L11 DISPN.3-4 ® Ej <br /> L12 DISPN.5-6 ® 0 <br /> L13 DISPN.7-8 ® Ij <br /> Lj L] <br /> Ll Lj <br /> Ll Lj <br /> 2 2 <br /> 2 <br /> Ll Ll <br /> Ll 1j <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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