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COMPLIANCE INFO_2023
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0540987
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
5/22/2024 4:24:49 PM
Creation date
7/21/2023 9:40:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0540987
PE
2351
FACILITY_ID
FA0023459
FACILITY_NAME
Pilot Travel Center Lathrop - 1017
STREET_NUMBER
345
STREET_NAME
ROTH
STREET_TYPE
Rd
City
FRENCH CAMP
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
345 Roth Rd
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 794390-420 BDT6 ANNULAR ✓❑ ❑ <br /> L2 794390-420 DT3 ANNULAR ✓❑ ❑ <br /> L3 794390-420 DT4 ANNULAR ✓❑ ❑ <br /> L4 794390-420 DT5 ANNULAR ✓❑ ❑ <br /> L5 794380-208 DIESEL TRANS SUMP 2 ✓❑ ❑ <br /> L6 794380-208 BIO SHED SUMP ✓❑ ❑ <br /> L7 794390-420 BDT10 ANNULAR ✓0 ❑ <br /> L8 794390-420 DT7 ANNULAR ✓0 ❑ <br /> L9 794390-420 DT8 ANNULAR ✓❑ ❑ <br /> L10 794390-420 DT9 ANNULAR ✓❑ ❑ <br /> L11 794380-208 DIESEL TRANS SUMP 3 ✓❑ ❑ <br /> L12 794380-208 DISP 17 SAT UDC (✓ ❑ <br /> L13 794380-208 DISP 17 UDC ✓0 ❑ <br /> L14 794380-208 DISP 18 UDC ✓0 ❑ <br /> L15 794380-208 DISP 19 UDC ✓0 ❑ <br /> L16 794380-208 DISP 20 UDC ✓❑ ❑ <br /> L17 794380-208 DISP 21 UDC ✓0 ❑ <br /> L18 794380-208 DISP 22 UDC ✓� ❑ <br /> L19 794380-208 DISP 23 UDC ✓1 ❑ <br /> L20 794380-208 DISP 24 UDC ✓1 ❑ <br /> L21 794380-208 DISP 25 UDC I✓ ❑ <br /> L22 794380-208 AUTO DSL TRANS SUMP 1 ✓0 ❑ <br /> L23 794380-208 AUTO DSL TRANS HYDRO ✓0 ❑ <br /> ❑ :E::] <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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