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COMPLIANCE INFO_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231356
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COMPLIANCE INFO_2022
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Last modified
1/12/2023 10:41:23 AM
Creation date
5/23/2022 3:42:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231356
PE
2361
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
02740006
CURRENT_STATUS
01
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
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 /> 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 /> L1 VR 794380-208 UNLEADED STP SUMP ✓❑ ❑ <br /> L2 VR 794380-208 PLUS STP SUMP ✓❑ ❑ <br /> L3 VR 794380-208 PREMIUM STP SUMP ❑✓ ❑ <br /> L4 VR 794380-208 DIESEL STP SUMP ✓❑ ❑ <br /> L5 VR 794380-208 UNLEADED FILL SUMP ✓❑ ❑ <br /> L6 VR 794380-208 PLUS FILL SUMP ❑✓ ❑ <br /> L7 VR 794380-208 PREMIUM FILL SUMP ✓❑ ❑ <br /> L8 VR 794380-208 DIESEL FILL SUMP ❑✓ ❑ <br /> L9 VR 794390-420 UNLEADED ANNULAR ❑✓ ❑ <br /> L10 VR 794390-420 PLUS ANNULAR ❑✓ ❑ <br /> L11 VR 794390-420 PREMIUM - DIESEL ANNULAR ❑✓ ❑ <br /> L12 VR 794380-208 DISPENSER 1 &2 ❑✓ ❑ <br /> L13 VR 794380-208 DISPENSER 7 &8 ✓❑ ❑ <br /> L14 VR 794380-208 DISPENSER 3 &4 ❑✓ ❑ <br /> L15 VR 794380-208 DISPENSER 9 & 10 ❑✓ ❑ <br /> L16 VR 794380-208 DISPENSER 5 &6 ❑✓ ❑ <br /> L17 VR 794380-208 DISPENSER 11 & 12 ❑✓ ❑ <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 3of6 <br />
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