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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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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/18/2024 10:29:54 AM
Creation date
1/25/2023 9:27:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
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 /> L28 794380-208 Disp. 19 Main ✓❑ ❑ <br /> L29 794380-208 Disp. 19 Sat. ✓❑ ❑ <br /> L30 794380-208 Disp. 20 Main ✓❑ ❑ <br /> L31 794380-208 Disp. 20 Sat. ✓❑ ❑ <br /> L32 794380-208 Disp. 21 Main ✓❑ ❑ <br /> L33 794380-208 Disp. 21 Sat. ✓❑ ❑ <br /> L34 794380-208 Disp. 22 Main ✓0 ❑ <br /> L35 794380-208 Disp. 22 Sat. ✓0 ❑ <br /> L36 794380-208 Disp. 23 Main ✓❑ ❑ <br /> L37 794380-208 Disp. 23 Sat. ✓❑ ❑ <br /> L38 794380-208 Disp. 24 Main ✓❑ ❑ <br /> L39 794380-208 Disp. 24 Sat. El ❑ <br /> L40 794380-208 Disp. 25 Main ✓0 ❑ <br /> L41 794380-208 Disp. 25 Sat. ✓0 ❑ <br /> L42 794380-208 Disp. 26 Main ✓0 ❑ <br /> L43 794380-208 Disp. 26 Sat. ✓❑ ❑ <br /> L44 794380-208 Disp. 27 Main ✓0 ❑ <br /> L45 794380-208 Disp. 27 Sat. ✓� ❑ <br /> L46 794380-208 Disp. 28 Main ✓� ❑ <br /> L47 794380-208 Disp. 28 Sat. ✓� ❑ <br /> L48 794380-208 Disp. 29 Main I✓ ❑ <br /> 0 ❑ <br /> 0 ❑ <br /> ❑ :E::] <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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