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COMPLIANCE INFO_2023
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0527629
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COMPLIANCE INFO_2023
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Last modified
11/16/2023 7:49:36 AM
Creation date
5/4/2023 9:47:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0527629
PE
2351
FACILITY_ID
FA0018721
FACILITY_NAME
Costco Wholesale #1031
STREET_NUMBER
2440
STREET_NAME
DANIELS
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
2440 DANIELS ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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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 /> L29 794380-304 Disp 15/16 UDC Sump Brine Sensor ® ❑ <br /> L30 794380-304 Disp 17/18 UDC Sump Brine Sensor ® ❑ <br /> L31 794380-304 Disp 19/20 UDC Sump Brine Sensor ® ❑ <br /> L32 794380-304 Disp 21/22 UDC Sump Brine Sensor ® ❑ <br /> L33 794380-304 Disp 23/24 UDC Sump Brine Sensor ® ❑ <br /> L34 794380-304 T1 87A Fill Sump Brine Sensor ® ❑ <br /> L35 794380-304 T1 87A Fill Sump Brine Sensor ® ❑ <br /> L36 794380-304 T2 87B Fill Sump Brine Sensor ® ❑ <br /> L37 794380-304 T2 87B Fill Sump Brine Sensor ® ❑ <br /> L38 794380-304 T3 91 Fill Sump Brine Sensor ® ❑ <br /> L39 794380-304 T3 91 Fill Sump Brine Sensor ® ❑ <br /> L40 794380-304 T4 Additive Fill-Turbine Sump Brine Sensor ® ❑ <br /> L41 794380-304 T4 Additive Vent Sump Brine Sensor ® ❑ <br /> L42 794380-304 All Unleaded Tanks Vent Box Brine Sensor ® ❑ <br /> L43 794380-323 All Unleaded Tanks Vent Box Sensor ® ❑ <br /> L44 794380-323 T4 Additive Fill-Turbine Sump Sensor ® ❑ <br /> L45 794380-323 T1 Unleaded 87A Fill Sump Sensor ® ❑ <br /> L46 794380-323 T2 Unleaded 87B Fill Sump Sensor ® ❑ <br /> L47 794380-323 T13Unleaded 91 Fill Sump Sensor ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 4 of 6 <br />
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