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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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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 794380-208 DIESEL STP 1 F❑ ❑ <br /> L2 794380-208 DIESEL STP 2 E ❑ <br /> L3 794380-208 DIESEL STP 3 FD ❑ <br /> L4 794380-208 UNLEADED STP F❑ ❑ <br /> L5 794380-208 PREMIUM STP F❑ ❑ <br /> L6 794380-208 DIESEL 4 STP F❑ ❑ <br /> L7 794380-303 DIESEL 1 ANN Fl ❑ <br /> L8 794380-303 DIESEL 2 ANN Fl ❑ <br /> L9 794380-303 DIESEL 3 ANN ✓© ❑ <br /> L10 794380-303 UNLEADED ANN FD ❑ <br /> L11 794380-303 PREMIUM ANNULAR FD ❑ <br /> L12 794380-303 DIESEL 4 ANNULAR FD ❑ <br /> L13 794380-208 DISP 1-2 FD ❑ <br /> L14 794380-208 DISP 3-4 FD ❑ <br /> L15 794380-208 DISP 5-6 FD ❑ <br /> L16 794380-208 DISP 7-8 E r] <br /> L17 794380-208 DISP 9-10 ✓1 ❑ <br /> L18 794380-208 DISP 11-12 F1 ❑ <br /> L19 794380-208 DISP 16FD ❑ <br /> L20 794380-208 DISP 14-15 FD ❑ <br /> L21 794380-208 DISP 13 FD ❑ <br /> L22 794380-208 DISP 29 SATELLITE FD ❑ <br /> L23 794380-208 DISP 30 MASTER FD ❑ <br /> L24 794380-208 DISP 30 SATELLITE F❑ ❑ <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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