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INSTALL_2023
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0548528
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INSTALL_2023
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Last modified
11/4/2024 2:43:27 PM
Creation date
8/24/2023 12:57:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2023
RECORD_ID
PR0548528
PE
2351
FACILITY_ID
FA0000370
FACILITY_NAME
ORLANDOS ESCALON
STREET_NUMBER
2226
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22727016
CURRENT_STATUS
01
SITE_LOCATION
2226 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 8. IN-TANK GAUGING TESTING <br /> * 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 complete 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 M El ❑ <br /> to ensure that floats move freely, functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? M ❑ ❑ <br /> Was accuracy of system's water level readings tested? M ❑ ❑ <br /> Were all probes reinstalled properly? ® ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ® I ❑ ❑ <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> T1 Mag Plus Regular ® ❑ <br /> T2 Mag Plus Premium ® ❑ <br /> T3 Mag Plus Diesel ® ❑ <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 /> Page 5 of 6 <br />
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