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COMPLIANCE INFO_2024
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231669
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COMPLIANCE INFO_2024
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Last modified
9/25/2024 3:44:34 PM
Creation date
4/17/2024 12:47:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0231669
PE
2361
FACILITY_ID
FA0001480
FACILITY_NAME
AXIS-MSO LLC #6822
STREET_NUMBER
2132
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17306035
CURRENT_STATUS
01
SITE_LOCATION
2132 MARIPOSA RD
P_LOCATION
01
P_DISTRICT
001
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 3 of 6 <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 ID Sensor Model Component(s) Monitored Pass Fail <br />L1 VR 208 DISPENSER #13-14 <br />L2 VR 208 DISPENSER #5-6 <br />L3 VR 208 DISPENSER #7-8 <br />L4 VR 208 DISPENSER #11-12 <br />L5 VR 208 DISPENSER #3-4 <br />L6 VR 208 DISPENSER #9-10 <br />L7 VR 208 DISPENSER #1-2 <br />L8 UNUSED <br />L9 VR 208 87 STP SUMP <br />L10 VR 208 89 STP SUMP <br />L11 VR 208 91 STP SUMP <br />L12 VR 208 DIESEL STP SUMP <br />L13 VR 208 87 FILL SUMP <br />L14 VR 208 89 FILL SUMP <br />L15 VR 208 91 FILL SUMP <br />L16 VR 208 DIESEL FILL SUMP <br />L17 RONAN LS-3 87 ANNULAR <br />L18 VR 420 89 ANNULAR <br />L19 RONAN LS-3 91 ANNULAR <br />L20 RONAN LS-3 DIESEL ANNULAR <br />L21 UNUSED <br />L22 UNUSED <br />L23 UNUSED <br />L24 UNUSED <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 />
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