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COMPLIANCE INFO_2021
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231497
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COMPLIANCE INFO_2021
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Last modified
1/25/2022 10:43:11 AM
Creation date
11/10/2021 8:23:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231497
PE
2361
FACILITY_ID
FA0000279
FACILITY_NAME
ESCALON MINI MART
STREET_NUMBER
1097
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22510001
CURRENT_STATUS
01
SITE_LOCATION
1097 YOSEMITE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage lank <br /> Monitoring System Certification Foran <br /> 5 . MONITORING SYSTEM AND PROGRAMMING <br /> A separate Monitoring System Certification Form must be prepared for each control panel. <br /> Make of Monitoring System Model of Monitoring System Software Version Installed <br /> Control Panel Control Panel <br /> W Qv VO s ty Tv� . Ll <br /> J _ <br /> Attach the post-certification reports if the monitoring system is capable of generating Yes No NA <br /> either,- ❑ Monitoring System Set-up Alarm History Report <br /> All monitoring equipment is operational per manufacturer's specifications? <br /> Secondary containment systems are free of damage , debris , or liquid ? <br /> Are the audible and visual alarms operational? ❑ <br /> All sensors have been : 1 ) visually inspected for wiring kinks , breaks and residual <br /> buildup on floats ; and 2) tested for functionality and confirmed operational? <br /> Are all sensors installed to detect a release at the earliest opportunity in the ❑ ❑ <br /> secondary containment? <br /> The monitoring system set-up was reviewed , and proper settings confirmed ? ❑ ❑ <br /> Was the monitoring control panel's backup battery visually inspected , functionally ❑ ❑ <br /> tested , and confirmed operational? <br /> Does the flow of fuel stop at the dispenser if a release is detected in the under- ❑ ❑ <br /> dispenser containment? <br /> Does the turbine automatically shut down if the piping secondary containment ❑ <br /> monitoring system fails to operate or is electrically disconnected ? <br /> Does the turbine automatically shut down if the piping secondary containment <br /> monitoring system detects a relea e? Which sensors initiate positive shut down ? ❑ ❑ <br /> (Check all that apply) ,4 Sump T UDC <br /> If monitoring system alarms are relayed to a remote monitoring center, is all ❑ El IV <br /> communication equipment operational ? <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 2 of 6 <br />
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