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COMPLIANCE INFO_2023
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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PR0231417
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COMPLIANCE INFO_2023
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Last modified
2/12/2024 10:53:21 AM
Creation date
1/10/2023 9:07:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231417
PE
2361
FACILITY_ID
FA0003780
FACILITY_NAME
TRACY SHELL
STREET_NUMBER
3725
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21217030
CURRENT_STATUS
01
SITE_LOCATION
3725 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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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 Regular STP Sump ✓❑ ❑ <br /> L2 VR 794380-208 Regular Aux STP Sump ✓❑ ❑ <br /> L3 VR 794380-208 Premium STP Sump ❑✓ ❑ <br /> L4 VR 794380-208 Diesel STP Sump ✓❑ ❑ <br /> L5 VR 794380-301 Regular Annular ✓❑ ❑ <br /> L6 VR 794380-301 Regular Aux Annular ❑✓ ❑ <br /> L7 VR 794380-301 Premium Annular ✓❑ ❑ <br /> L8 VR 794380-301 Diesel Annular ❑✓ ❑ <br /> L9 VR 794380-208 Regular Aux Fill sump ❑✓ ❑ <br /> L10 VR 794380-208 Regular Fill Sump ✓❑ ❑ <br /> L11 VR 794380-208 Premium Fill Sump ❑✓ ❑ <br /> L12 VR 794380-208 Diesel Fill Sump ❑✓ ❑ <br /> ❑ ❑ <br /> VR 330212-001 Dispenser 1 &2 ❑✓ ❑ <br /> VR 330212-001 Dispenser 3 &4 ❑✓ ❑ <br /> VR 330212-001 Dispenser 5 &6 ❑✓ ❑ <br /> VR 330212-001 Dispenser 7 &8 ❑✓ ❑ <br /> VR 330212-001 Dispenser 9 & 10 ✓❑ ❑ <br /> VR 330212-001 Dispenser 11 & 12 ❑✓ ❑ <br /> VR 330212-001 Dispenser 13 & 14 ❑✓ ❑ <br /> VR 330212-001 Dispenser 15 & 16 ❑ ❑ <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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