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COMPLIANCE INFO_2024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2802
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2300 - Underground Storage Tank Program
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PR0516736
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
12/17/2025 3:21:05 PM
Creation date
1/24/2024 4:27:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0516736
PE
2361 - UST FACILITY
FACILITY_ID
FA0012764
FACILITY_NAME
SAFEWAY FUEL CENTER #1769
STREET_NUMBER
2802
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
2802 COUNTRY CLUB BLVD STOCKTON 95204
Tags
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. I <br />Sensor lD <br />Sensor Model Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />208 <br />87 Turbine Sump✓❑ <br />❑ <br />L2 <br />460 <br />87 Annular✓❑ <br />❑ <br />L3 <br />208 <br />91 STP <br />❑✓ <br />❑ <br />L4 <br />208 <br />DSL STP <br />✓❑ <br />❑ <br />L5 <br />460 <br />91/ DSL Annular <br />✓❑ <br />❑ <br />❑ <br />❑ <br />L7 <br />208 <br />1-2 UDC <br />✓❑ <br />❑ <br />L8 <br />208 <br />3-4 UDC✓❑ <br />❑ <br />L9 <br />208 <br />5-6 UDC <br />❑✓ <br />❑ <br />L10 <br />208 <br />7-8 UDC <br />❑ <br />❑ <br />1-11 <br />208 <br />9-10 UDC <br />❑✓ <br />❑ <br />L12 <br />208 <br />11-12 UDC <br />✓❑ <br />❑ <br />L13 <br />208 <br />13-14 UDC <br />✓❑ <br />❑ <br />L14 <br />208 <br />15-16 UDC <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 <br />Page 3 of 6 <br />
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