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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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2300 - Underground Storage Tank Program
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PR0521942
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COMPLIANCE INFO_2023
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Last modified
10/2/2023 11:36:37 AM
Creation date
5/26/2023 2:39:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0521942
PE
2371
FACILITY_ID
FA0014921
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
1427
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16902016
CURRENT_STATUS
01
SITE_LOCATION
1427 S AIRPORT WAY
P_LOCATION
02
P_DISTRICT
001
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 /> [E—IN- ::K GAUGING TESTING <br /> J Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if NO tank gauging equipment is installed. Yes No NA <br /> Do not com tete this section if either box is checked. <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and ❑ ❑ ❑ <br /> termination; and 2 tested for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup ❑ ❑ ❑ <br /> to ensure that floats move freely, functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ <br /> Were all probes reinstalled properly? ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist complete Li I ❑ <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> El <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 9. COMMENTS <br /> Describe all answers marked "No"or"Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> Replaced TLS Battery for PM Purposes. <br /> Shear Vales Tested&Passed. <br /> E-Stop Tested&Passed. <br /> REMOVED LIQUID FROM 91 FILL SUMP. <br /> ADJUSTED SECONDARY BOOTS IN DISPENSER 1 &2 AND DISPENSER 5&6. <br /> Page 5 of 6 <br />
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