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COMPLIANCE INFO_2023
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231580
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COMPLIANCE INFO_2023
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Last modified
11/21/2023 10:47:57 AM
Creation date
3/9/2023 4:17:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231580
PE
2361
FACILITY_ID
FA0003963
FACILITY_NAME
TRACY 76
STREET_NUMBER
2420
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
Tracy
Zip
95377
APN
23802006
CURRENT_STATUS
01
SITE_LOCATION
2420 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
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EHD - Public
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ID = Identification, VPH = Vacuum/Pressure/Hydrostatic, UDC = Under-Dispenser Containment <br />UNDERGROUND STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page 3 of 6) <br /> Monitoring Device Used Device Model # Monitoring Device Used Device Model # <br />VENT / TRANSITION SUMP ID: VENT / TRANSITION SUMP ID: <br /> Sump Sensor Sump Sensor <br /> VPH Sensor VPH Sensor <br />UDC ID: UDC ID: <br /> Electronic Sensor Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> VPH Sensor VPH Sensor <br />UDC ID: UDC ID: <br /> Electronic Sensor Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> VPH Sensor VPH Sensor <br />UDC ID: UDC ID: <br /> Electronic Sensor Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> VPH Sensor VPH Sensor <br />UDC ID: UDC ID: <br /> Electronic Sensor Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> VPH Sensor VPH Sensor <br />Other Monitored Component ID: Other Monitored Component ID: <br /> Other (Specify in section VII.) Other (Specify in section VII.) <br />Other Monitored Component ID: Other Monitored Component ID: <br /> Other (Specify in section VII.) Other (Specify in section VII.) <br />Other Monitored Component ID: Other Monitored Component ID: <br /> Other (Specify in section VII.) Other (Specify in section VII.) <br />Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system <br />control panel monitors more components than this form accommodates, additional copies of these pages may be attached. <br />VII. COMMENTS <br />Use this section to provide additional comments about the inventory of the equipment certified. <br />1-2 <br />FLOAT <br />3-4 <br />FLOAT <br />5-6 <br />FLOAT <br />7-8 <br />FLOAT
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