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COMPLIANCE INFO_2024
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231604
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COMPLIANCE INFO_2024
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Last modified
6/19/2024 4:34:14 PM
Creation date
2/20/2024 1:34:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0231604
PE
2361
FACILITY_ID
FA0000650
FACILITY_NAME
GAS & SHOP
STREET_NUMBER
1002
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102012
CURRENT_STATUS
01
SITE_LOCATION
1002 FRONTAGE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7, LINE LEAK DETECTOR TESTING <br /> Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> Simulated release rate verified: (Check all that apply.) Yes No NA <br /> ® 3 GPH r 0.1 GPH rj 0.2 GPH <br /> Has the testing apparatus been properly calibrated? Q Q Q <br /> For emergency generator tank systems, does the LLD create an audible and visual <br /> 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 17 <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 inspected <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? <br /> Were all LLDs confirmed operational within regulatory requirements? <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> T# 1 PLLD regular El 17 <br /> T# 2 PLLD super ® R7 <br /> ri <br /> M El <br /> El 17 <br /> 0 <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 4 of 6 <br />
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