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COMPLIANCE INFO_2022
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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PR0232601
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COMPLIANCE INFO_2022
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Last modified
3/2/2022 8:37:00 AM
Creation date
1/14/2022 4:35:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0232601
PE
2361
FACILITY_ID
FA0004525
FACILITY_NAME
CHEVRON STATION #372736/2223
STREET_NUMBER
9484
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09055063
CURRENT_STATUS
01
SITE_LOCATION
9484 WEST LN
P_LOCATION
01
P_DISTRICT
003
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 iabeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-301 SUP.ANNULAR 0 D <br /> L2 794380-209 SUP.STP SUMP Q <br /> L3 794380-209 SUP.FILL SUMP Q <br /> L4 794380-301 REG.ANNULAR Z LJ <br /> L5 794380-209 REG.STP SUMP 0 El <br /> L6 794380-209 REG.FILL SUMP 0 Q <br /> L7 794380-301 DSLANNULAR R] ❑ <br /> L8 794380-209 DSL STP SUMP 0 D <br /> L9 794380-209 DSL FILL SUMP ® Q <br /> 1-10 794380-209 VENT BOX 0 Q <br /> L11 794380-208 DISPN. 1-2 <br /> L12 794380-208 DISPN.3-4 Q <br /> L13 794380-208 DISPN.5-6 211 Q <br /> L14 794380-208 DISPN.7-8 <br /> L15 794380-208 DISPN.9-10 <br /> L16 794380-208 DISPN.11-12 Q <br /> 0 Li <br /> Lj D <br /> Q <br /> Lj Li <br /> Ll Q <br /> Ll El <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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