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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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PR0524617
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COMPLIANCE INFO_2022
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Last modified
10/31/2022 12:58:41 PM
Creation date
7/1/2022 10:53:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0524617
PE
2351
FACILITY_ID
FA0016523
FACILITY_NAME
AISLE 1 #2356
STREET_NUMBER
4219
Direction
E
STREET_NAME
MORADA
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12429017
CURRENT_STATUS
01
SITE_LOCATION
4219 E MORADA LN
P_LOCATION
01
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 /> L25 794380-208 DISP 9-10 SUMP ✓❑ ❑ <br /> L26 794380-208 DISP 3-4 SUMP ✓❑ ❑ <br /> L27 794380-208 DISP 7-8 SUMP ❑✓ ❑ <br /> L28 794380-208 DISP 11-12 SUMP ✓❑ ❑ <br /> ✓❑ ❑ <br /> S1 330020-463/330020-464 REGULAR PRODUCT ❑✓ ❑ <br /> S2 330020-463/330020-464 REGULAR SITE VAPOR ✓❑ ❑ <br /> S3 330020-463/330020-464 REGULAR VENT ❑✓ ❑ <br /> S4 330020-463/330020-464 PREMIUM PRODUCT ❑✓ ❑ <br /> S5 330020-463/330020-464 PREMIUM VENT ❑ ❑ <br /> S6 330020-463/330020-464 DIESEL PRODUCT ❑✓ ❑ <br /> S7 330020-463/330020-464 DIESEL VENT ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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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