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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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PR0231547
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COMPLIANCE INFO_2023
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Last modified
8/28/2023 2:58:47 PM
Creation date
7/21/2023 9:40:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
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 />Page 4 of 19 <br /> <br />7. LINE LEAK DETECTOR TESTING <br /> <br />Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> <br />Simulated release rate verified: (Check all that apply.) <br /> 3 GPH 0.1 GPH 0.2 GPH Yes No NA <br />Has the testing apparatus been properly calibrated? <br />For emergency generator tank systems, does the LLD create an audible and <br />visual alarm when a leak is detected? <br />For mechanical LLDs, does the LLD restrict the flow through the pipe when a <br />release is detected? <br />For electronic LLDs, does the turbine automatically shut off when a release is <br />detected? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the <br />monitoring system is disabled or disconnected? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the <br />monitoring system malfunctions or fails a tightness test? <br />For electronic LLDs, have all accessible wiring connections been visually <br />inspected for kinks and breaks? <br />Were all items on the equipment manufacturer's maintenance checklist <br />completed? <br />Were all LLDs confirmed operational within regulatory requirements? <br /> <br />LLD ID LLD Model Lines Monitored Pass Fail <br /> <br /> <br /> <br /> <br /> <br /> <br /> <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
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