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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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PR0231923
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COMPLIANCE INFO_2021
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Last modified
6/30/2022 9:57:45 AM
Creation date
6/7/2021 8:08:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231923
PE
2361
FACILITY_ID
FA0003606
FACILITY_NAME
ARCO 05450
STREET_NUMBER
1617
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13511015
CURRENT_STATUS
01
SITE_LOCATION
1617 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
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 ID -Sensor Model Component(s)Monitored Pass Fail <br />Li 794380-208 Disp.1/2 In <br />L2 794380-208 Disp.3/4 fl <br />L3 794380-206 Disp.5/6 <br />L4 794380-206 Disp.7/8 <br />1,5 794380-208 87 Master STP <br />L8 794380-208 87 2 STP fi <br />L9 794390-409 67-1 Annular <br />:10 794390-409 87-2 Annular <br />Lii 794390-409 91 Annular tEl <br />L13 794380-208 91 STP E ID <br />Ci 796380-344 87 Master Fill fi <br />C2 796380-344 87 Siphon Fill <br />C3 796380-344 91 Fill fl fi <br />nr <br />nfl <br />nfl <br />nfl <br />nfl <br />nfl <br />rID <br />nfl <br />nfl <br />nr <br />nfl <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 of6
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