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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231830
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COMPLIANCE INFO
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Entry Properties
Last modified
7/6/2020 4:38:43 PM
Creation date
11/8/2018 9:59:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0231830
PE
2361
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\W\WATERLOO\6732\PR0231830\COMPLIANCE INFO.PDF
Tags
EHD - Public
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N� ..00 <br /> WRITTEN MONITORING PROCEDURES <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM <br /> This monitoring program must be kept at the UST location at all times. The information on this monitoring <br /> program are conditions.of the operating permit. The permit holder must notify San Joaquin County <br /> Environmental Health Division, phone (209) 468-3420 within 30 days of any changes to the monitoring <br /> procedures, unless required to obtain approval before making the chat� �1lll}TRnJJ;�(( �� <br /> Required by Sections 2632(d) and 2641(h) CCR. JjI��IfVJII//'II <br /> Y^ h] <br /> Facility Name THREE PALMSM;ROCERY d JUN 9 2 1295 <br /> —�61JIE WAILKLUO ROAD, <br /> STOCKTON.CA 95215 <br /> Facility Address FNVIIXnNMFNTAI LJFDLTH <br /> PERMIT/SERVICES <br /> A_ Descnbe the frequency of performing the onitoriil <br /> i�b:Lw o n A <br /> Tank -1&4 4 tS <br /> l <br /> Piping <br /> B. What methods and equipment, identified by name and model, will be used for <br /> performing the monitoring: <br /> Tank -AW LEArc 449m Mo)FL Zo <br /> -0RWSfifLF -"PET, ScyiAZ 4 a000x% <br /> Piping_i. - <br /> C. Describe the location(s) where the monitoring will be performed (facility plot plan <br /> should be attached): <br /> 1FT I;nv- J-OCA-rroN of -ToC FJKiLI'iy <br /> 6*a 1 E A'rcettro 4A s 7•&: -ronl CA- qrl X- <br /> D. List the name(s) and title(s) of the people responsible for performing the monitoring <br /> and/or maintaining the equipment: <br /> Q U�y t`7 EMhfl►J CA — P-MR'TN e-jL <br /> A-N11TtK Mh"//J�L* - PA9TNEZ° <br /> E. Reporting format for monitoring. <br /> Tank Owe P06LM A " ba jfWakto &y fWrtim ; 94,160 Alio. Ar- 6 poLrO <br /> Piping to `fwt;7 ptA&w c --HcALT-rf 6&Y-V1CFr- <br /> F. Describe the preventive maintenance schedule for the monitoring equipment. Note: <br /> Maintenance must be in accordance with the manufacturers' maintenance schedule <br /> but not less than every 12 months: 4--!�- PE'X MATT 4:FA c rtaerFl t w TLEi crt m, <br /> oN A T. '`fr P- <br /> G. <br /> G. Descnbe the training necessary for the operation of UST system, including piping, <br /> and the monitoring equipment: /1+-fl-Xwt VP-Wi7 Tes-rel NA4tY• <br /> EMEt46u1 .SMUT ppc sur(off b'r -rpfc r-gowr of T"F s. 7o2'E . <br />
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