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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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BENJAMIN HOLT
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2905
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2300 - Underground Storage Tank Program
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PR0231952
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COMPLIANCE INFO_2022
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Last modified
11/23/2022 11:08:46 AM
Creation date
1/19/2022 8:52:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231952
PE
2351
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
01
SITE_LOCATION
2905 W BENJAMIN HOLT 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 may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> S1 330020-464 87 PROD.LINE <br /> S2 330020-464 91 PROD.LINE ❑ <br /> S3 330020-464 DSL PROD.LINE z ❑ <br /> S4 330020-464 87 STP SUMP ❑ 11 <br /> S5 330020-464 87 FILL SUMP El <br /> S6 330020-464 91 STP SUMP Ll <br /> S7 330020-464 91 FILL SUMP 0 ❑ <br /> S17 330020-464 DSL STP SUMP R ❑ <br /> S18 330020-464 DSL FILL SUMP ❑ <br /> S19 330020-464 ALL VENTS <br /> S20 330020-464 V.R.ALL UDC'S <br /> ❑ ❑ <br /> ❑ 1A <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ Q <br /> ❑ 0 <br /> ❑ ❑ <br /> ❑ Li <br /> Describe all answers marked "No"or "Fail"and proposed remedy in Secrion 9. <br /> List all monitoring equipment either replaced or repaired in Secrion 9 <br /> Page 3 of 6 <br />
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