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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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PR0537549
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COMPLIANCE INFO_2023
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Last modified
8/3/2023 11:49:02 AM
Creation date
1/17/2023 11:06:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0537549
PE
2351
FACILITY_ID
FA0021617
FACILITY_NAME
HARNEY LANE AM PM
STREET_NUMBER
255
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
062-580-40
CURRENT_STATUS
01
SITE_LOCATION
255 E Harney Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Appendix VI <br /> 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 I D"as labeled in system <br /> programming <br /> VPH site: ® Yes I ❑ No <br /> Tank ID: 87 <br /> Sensor ID Sensor Model Component(s) Monitored Pass Fail <br /> L1 208 STP ® ❑ <br /> L1 304 STP brine ® ❑ <br /> L2 208 fill ® ❑ <br /> L2 304 fill brine ® ❑ <br /> L17 304 annular ® ❑ <br /> ❑ ❑ <br /> Tank ID: 91 <br /> Sensor ID Sensor Model Component(s) Monitored Pass Fail <br /> L3 208 STP ® ❑ <br /> L3 304 STP brine ® ❑ <br /> L4 208 fill ® ❑ <br /> L4 304 fill brine ® ❑ <br /> L18 304 91 / DSL annular ® ❑ <br /> ❑ ❑ <br /> Tank ID: DSL <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L5 208 STP ® ❑ <br /> L5 304 STP brine ® ❑ <br /> L6 208 fill ® ❑ <br /> L6 304 fill brine ® ❑ <br /> L18 304 91 / DSL annular ® ❑ <br /> ❑ ❑ <br /> Describe a#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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