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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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1501
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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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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 /> L1 794380-303 BIO Annular ✓❑ ❑ <br /> L2 794380-208 BIO Fill Sump ✓❑ ❑ <br /> L3 794380-304 BIO Fill Hydro ✓❑ ❑ <br /> L4 794380-208 BIO TLM Sump ✓❑ ❑ <br /> L5 794380-304 BIO TLM Hydro ✓❑ ❑ <br /> L6 794380-208 BIO Pipe Sump ✓❑ ❑ <br /> L7 794380-304 BIO Pipe Hydro ✓0 ❑ <br /> L8 794380-208 BIO Transition Sump North ✓0 ❑ <br /> L9 794380-304 BIO Transition Hydro North ✓❑ ❑ <br /> L10 794380-208 BIO Transition Sump South ✓❑ ❑ <br /> L11 794380-304 BIO Transition Hydro South ✓❑ ❑ <br /> L12 794380-208 BIO Vent Sump El ❑ <br /> L13 794380-304 BIO Vent Hydro ✓0 ❑ <br /> L14 794380-304 BIO Vent Line Hydro ✓0 ❑ <br /> L15 794380-208 BIO Shed Sump ✓0 ❑ <br /> L16 794380-304 BIO Shed Hydro El ❑ <br /> 0 ❑ <br /> s1 330020-463/330020-464 BIO Product Vac ✓� ❑ <br /> s2 330020-463/330020-464 RV 19,20 Product ✓� ❑ <br /> s3 330020-463/330020-464 21-30 Product ✓� ❑ <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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