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COMPLIANCE INFO_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO_2022
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Last modified
11/28/2022 11:20:15 AM
Creation date
2/2/2022 11:14:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL 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 Tank <br /> Designated UST Operator Visual Inspection Report <br /> 9. UST SYSTEM INSPECTION <br /> List below and in Section 3 all containment sumps that have had a release detection alarm <br /> since the previous Designated UST Operator Inspection Report and have not been responded <br /> to by a qualified service technician. Containment sumps listed below require a visual <br /> inspection for damage, water, debris, hazardous substance, and proper sensor location. <br /> Is the containment sump free of damage, water, debris, and hazardous substances? <br /> Containment Sump`ID � Yes No Containment Sump ID 4' Yep` No; <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> Are all sensors in visually inspected containment sumps located to detect a release at ❑ ❑ <br /> the earliest opportunity? <br /> Is the spill containment free of damage, water, debris, and hazardous substances? Is the fill pipe <br /> free of obstructions? Is fill cap securely on the fill pipe? <br /> 4- M11 <br /> � ri � Yes Noy <br /> T1:Regular -1 ® ❑ ❑ ❑ <br /> T2: Regular -2 ® ❑ ❑ ❑ <br /> T3: Supreme ® ❑ ❑ ❑ <br /> T4: Diesel ® ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> Is the UDC free of damage, water, debris, and hazardous substances and all sensors located to <br /> detect a release at the earliest opportunity? ❑ No UDC(s) at this facility <br /> UDC ID Yes No -UDC ID YesNo <br /> 1/2 ® ❑ ❑ ❑ <br /> 3/4 ® ❑ ❑ ❑ <br /> 5/6 ® ❑ ❑ ❑ <br /> 7/8 ® ❑ ❑ ❑ <br /> 9/10 ® ❑ ❑ ❑ <br /> 11/12 ® ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ Mechanical float mechanisms used in UDCs. <br /> All answers marked "No"must be described by the designated UST operator in Section 3. <br /> Page 3 of 4 <br />
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