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COMPLIANCE INFO 2003 - 2008
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO 2003 - 2008
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Last modified
6/11/2019 11:42:03 AM
Creation date
4/10/2019 2:41:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2008
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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Monitoring System Certification <br />UST Monito>r'-inb Site Plan <br />Site Address: <br />................... .................... . <br />................................................... <br />................................................... <br />................................................... <br />............................................ ... <br />............................................ .. ... <br />............................................ .. ... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . .. ... <br />............................................ .. ... <br />............................... ..... .. ... <br />/.. ................. ..... .. ... <br />9 . . . . . . . . . . . . . . <br />1' �. ` .. .... <br />. e! <br />�. . . . . . . . . . . . . . . <br />............. .... ... .. <br />5 .............�...... <br />.............................. �. : El <br />........................... <br />. . . . . . . . . . . . <br />....... ............. .... ...... �.. <br />. . . . . . . . . . . . . . . . . r: STb h7 . . . . . . . . . . . i✓/JW C%/� /Z. <br />. . . . . . . . . . V :V. . <br />5.0........... .......x....�......... . <br />.................... . <br />Date map was drawn: (Ja/ to Ld—D <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with your <br />Monitoring System Certification. On your site pian, show the general layout of tanks and piping. Clearly identify <br />locations of the following equipment, if installed: monitoring ' system control panels; sensors monitoring tank annular <br />spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak <br />detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan <br />was prepared. <br />., <br />05/00 <br />
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