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COMPLIANCE INFO_2021
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231074
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COMPLIANCE INFO_2021
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Last modified
12/22/2021 12:21:52 PM
Creation date
8/5/2021 8:17:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231074
PE
2351
FACILITY_ID
FA0002541
FACILITY_NAME
7-ELEVEN INC #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11002003
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI 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 maybe attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Componen (s) Monitored Pass Fail <br /> L1 794380-208 RUL STP ❑ <br /> L2 794380-208 RUL FILL ® El <br /> L3 794380-303 RUL ANNULAR ❑ <br /> L4 794380-208 PUL STP B ❑ <br /> L5 794380-208 PUL FILL 0 ❑ <br /> L6 794380-303 PUL-DIE ANNULAR A ❑ <br /> L7 794380-208 DIE STP A ❑ <br /> L8 794380-208 DIE FILL ❑ <br /> L9 794380-208 VENT BOX ® ❑ <br /> L10 794380-208 DISP 1-2 ® ❑ <br /> L11 794380-208 DISP 3-4 ® ❑ <br /> S1 330020-463 RUL PRODUCT A ❑ <br /> S2 330020-463 RUL SUMPS ® ❑ <br /> S3 330020-463 VAPOR UDCS 0 ❑ <br /> S4 330020-463 PUL PRODUCT ® ❑ <br /> S5 330020-463 PUL SUMPS 0 L <br /> S6 330020-463 PUL RUL VENTS ® ❑ <br /> S7 330020-463 DIESEL VAC 0 ❑ <br /> S9 330020-463 DIESEL SUMPS 0 ❑ <br /> S10 330020-463 DIESEL VENT-VENTBOX 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Describe all answers marked "No'or'Fail"and proposed remedy in S ecrion 9. <br /> List all monitoring equipment either replaced or repairer}in Section 9 <br /> Page 3of6 <br />
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