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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 Tarek <br />Monitoring System Certification Fora <br />7. LINK LEAK DETECTOR TESTING <br />❑ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br />Simul ted release rate verified: (Check all that apply.) <br />Yes <br />No <br />Nle <br />J3 GPH ❑ 0.1 GPH ❑ 0.2 GPH <br />Has the testing apparatus been properly calibrated? <br />❑ <br />❑ <br />For emergency generator tank systems, does the LLD create an audible and visual <br />❑ <br />❑ <br />alarm when a leak is detected? <br />For mechanical LLDs, does the LLD restrict the flow through the pipe when a <br />710 <br />❑ <br />release is detected? <br />For electronic LLDs, does the turbine automatically shut off when a release is <br />® <br />❑ <br />detected? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the <br />❑ <br />❑ <br />monitori ig system is disabled or disconnected? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the <br />EJ <br />El <br />monitorin system malfunctions or fails a tightness test? <br />For electronic LLDs, have all accessible wiring connections been visually inspected <br />❑ <br />❑ <br />for kinks and breaks? <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />El <br />Were all LLDs confirmed operational within regulatory requirements? <br />❑ <br />❑ <br />LLD ID <br />LLD Mode! <br />Lines Monitored <br />Pass <br />3�G t <br />89Vwu <br />9 I "w <br />❑ <br />❑ <br />jail <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 4 of 6 <br />
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