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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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PR0518288
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COMPLIANCE INFO_2023
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Last modified
3/13/2024 12:32:29 PM
Creation date
1/13/2023 9:39:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0518288
PE
2351
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
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 794380-303 T1 Unleaded 87A Annular Sensor ® ❑ <br /> L2 794380-303 T2 Unleaded 87B Annular Sensor ® ❑ <br /> L3 794380-303 T3 Unleaded 91 Annular Sensor ® ❑ <br /> L4 794380-303 T4 Additive Annular Sensor ® ❑ <br /> L5 794380-303 T5 Unleaded Additive Annular Sensor ® ❑ <br /> L9 794380-323 T1 Unleaded 87A Fill Sump Sensor ® ❑ <br /> 1-10 794380-323 T1 Unleaded 87A Turbine Sump Sensor ® ❑ <br /> 1-11 794380-323 T2 Unleaded 87B Fill Sump Sensor ® ❑ <br /> L12 794380-323 T2 Unleaded 87B Turbine Sump Sensor ® ❑ <br /> L13 794380-323 T3 Unleaded 91 Fill Sump Sensor ® ❑ <br /> L14 794380-323 T3 Unleaded 91 Turbine Sump Sensor ® ❑ <br /> L15 794380-323 T5 Unleaded 87C Fill Sump Sensor ® ❑ <br /> L16 794380-323 T5 Unleaded 87C Turbine Sump Sensor ® ❑ <br /> L17 794380-323 Dispenser 1-2 Sump Sensor ® ❑ <br /> L18 794380-323 Dispenser 3-4 Sump Sensor ® ❑ <br /> L19 794380-323 Dispenser 5-6 Sump Sensor ® ❑ <br /> L20 794380-323 Dispenser 7-8 Sump Sensor ® ❑ <br /> L21 794380-323 Dispenser 9-10 Sump Sensor ® ❑ <br /> L22 794380-323 Dispenser 11-12 Sump Sensor ® ❑ <br /> L23 794380-323 Dispenser 13-14 Sump Sensor M ❑ <br /> L24 794380-323 Dispenser 15-16 Sump Sensor ® ❑ <br /> L25 794380-323 Dispenser 17-18 Sump Sensor ® ❑ <br /> L26 794380-323 Dispenser 19-20 Sump Sensor ® ❑ <br /> L27 794380-323 Dispenser 21-22 Sump Sensor ® ❑ <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 3 of 6 <br />
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