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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
Tags
EHD - Public
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 8. IN-TANK GAUGING TESTING <br /> Z Check this box if tank gauging is used only for inventory control. <br /> L Check this box if No tank gauging equipment is installed. Yes No NA <br /> Do not complete this section if either box is checked. <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and ❑ ❑ ❑ <br /> termination; and 2 tested for ground faults? <br /> Were afl in-tank gauging probes visually inspected for damage and residue buildup ❑ ❑ ❑ <br /> to ensure that floats move free! . functional!y tested. and confirmed o erationaI? <br /> Was accuracy of system's product level readings tested? i Ll ❑ ❑ <br /> Was accuracy of system's water level readings tested? L ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑ <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> Ll ❑ <br /> J Q <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 9. COMMENTS <br /> Describe all answers marked "No"or ''Fail" and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> Page 5 of 6 <br />
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